摘要
采用回顾方法对1992年6月～1997年1月期间胆道外科重症患者235例进行了急性生理学和慢性健康状况评分（APACHEⅡ）。APACHEⅡ评分统一在入监护室（SICU）第一个24h进行，所有病例随访至出院或死亡，记录转归；并与APACHEⅡ总分作相关性分析。结果：病死率高低与APACHEⅡ分值有密切关系，235例平均分值12．6分，最低7分，最高38分；199例存活病例平均分值10．4分；死亡36例（15．3％）平均分值为24．9分（P＜0．001）；风险病死率与实际病死率回归分析，r=0．895，P＜O．001。以ROC曲线发现，风险预测的准确性较高。
In order to assess the predictive outcome of APACHE Ⅱ, a retrospective study was performed on critical biliary tract illness from June1992 to January 1997. Two hundred thirty-five patients in a surgical intensive care unit were studied,of whom 36 (15. 3 % ) died. The mean age of allAPACHE Ⅱ score in the 235 patients was 12. 6(range: 7 to 38). The mean APACHE Ⅱ score ofsurvivals was 10. 4,vs 24. 9 in patients who died. Anincreasing APACHE Ⅱ score was associated with anincreased mortality rate for patients with critical binary tract illness.
出处
《西安医科大学学报》
CSCD
1998年第3期466-468,共3页
Journal of Xi'an Medical University(Chinese)
关键词
胆道外科重症
APACHEⅡ
critical biliary tract illness
APACHE Ⅱ scoring systems
mortality prediction
