APACHE Ⅱ与APACHE Ⅲ在内科重症监护病房中的应用

The Application of APACHE E, APACHE in in Intensive Care Unit

应用Knaus等提出的急性生理学与慢性健康评价(APACHE)Ⅱ、Ⅲ预测评分系统,观察了内科重症监护病房中呼吸衰竭和急性心肌梗塞的64例患者,并与衰竭脏器的个数及脏器衰竭的严重程度计分作对照,发现APACHEⅡ、APACHEⅢ预测系统评分与患者的预后有明显的相关性:分值越高,病情越重,预后越差,死亡率越高。APACHE预测评分系统与患者预后判断的相关性和准确性,均优于脏器衰竭及其严重程度的计分方法。

Sixty-four patients with respiratory failure or acute myocardial infraction, two main diseases in the intensive care unit (ICU), were observed with the criteria of acute physiology and chronic health evaluation (APACHE) II, III suggested by Dr. Knaus, and compared with the number of multiple organ failure (MOF) and the severity of organ function failure. We found the prognosis of patients was highly relative to the score of APACHE II and APACHE III. The higher the score, the higher the mortality. The APACHE as a prognostic evaluation system evaluating the severity of diseases and the risk of death was more accurate than the number of MOF and the severity of organ function failure.