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时间:2020-05-20
《心血管重症患者病情危重程度评估及近期预后分析.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、第44卷第3期第353页华中科技大学学报(医学版)Vo1.44No.3P.3532015年6月ActaMedUnivSciTechnolHuazhongJun.2O15心血管重症患者病情危重程度评估及近期预后分析*魏宇淼,陈芬,杨仕俊,王祥,廖玉华△华中科技大学同济医学院附属协和医院心血管病研究所,武汉430022摘要:目的在心血管重症病房建立患者病情危重程度的客观评估系统以更好地进行近期预后判断。方法根据心血管科重症患者特异病因的风险特征及脏器衰竭发展规律,制定病情危重程度评分量表,从武汉协和医院心血管科重症病房选取具备一项特定的急性心血管重症疾病或伴有一项
2、脏器功能严重衰竭需要生命支持的患者共320例,采用病情危重程度评分量表对其进行评估,患者评分分值分为≤12分,~18分,~24分及>24分等4个级别,观察记录各级别患者存活并成功出院的比例,分析危重程度评分与患者近期存活率的关系,评估该量表的临床应用价值。结果入住心血管重症病房的患者随着危重程度评分值的升高,其存活率显著下降,评分≤12分、~18分、~24分及>24患者的平均存活率分别为91.9、75.6、48.8、9.4。结论基于特异心血管病病因及脏器衰竭制定的心血管科危重程度评分较好地反映了患者的近期预后,具有明显的j临床应用价值。关键词:心血管重症;危重
3、程度评估;近期预后中图分类号:R540.4DOI:10.3870/j.issn.1672-0741.2015.03.025AssessmentoftheSeverityofCriticallyIllPatientswithCardiovascularDiseaseandShort’termPrognosisAnalysisWeiYumiao,ChenFen,YangShijunetalInstituteofCardiology,UnionHospital,TongJiMedicalCollege,HuazhongUniversityofScienceandTe
4、chnology,Wuhan430022,ChinaAbstractObjectiveTodevelopanobjectiveevaluationsystemforassessmentoftheseverityofcriticallympatientswithcardiovasculardiseaseinordertobetterevaluatetheshort—termprognosisofthesepatients.MethodsAcriticalseverityscorescalewasdevelopedbasedontheriskcharacteris
5、ticsofpatientswithseverecardiovasculardisease,ordevelopingorganfail—ure.Atotalof320patientswhohadsevereacutecardiovasculardiseaseorasevereorganfailureandrequired1ifesupportwereselectedfromtheCardiovascularIntensiveCareUnitofWuhanUnionHospita1.Thediseaseseveritywasassessedbyusingthec
6、riticalseverityscorescale.Thepatientsweredividedintofour1evelsaccordingtothescore:≤12points,13—18points,19—24points,and>24points.Theproportionofpatientswhosurvivedandwasdischargedfromhospitalwererecordedinalllev—els.Therelationshipbetweenthescoresandthesurvivalrateswasanalyzedandthe
7、clinica1valueoftheseverityscorescalewasevaluated.ResultsThesurvivalratedecreasedsignificantlywiththeseverityscoreincreasinginthepatientsadmittedtotheCardiovascularIntensiveCareUnit.Theaveragesurviva1ratewas91.9in≤12scorepointsgroup,75.6in13—18pointsgroup,48.8in19—24pointgroup,and9.4
8、in>24pointsgroup.Co
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