肠系膜缺血中危重疾病评分系统的应用

Application of Score System for Moderale and Severe Cases of Mesenteric Ischemic

目的:总结肠系膜缺血的临床特点,探讨危重疾病评分系统在该症中的应用.方法:对我院肠系膜动脉阻塞和肠系膜静脉阻塞的病例进行回顾性研究,计算APACHE Ⅱ和SAPS Ⅱ评分及其预测死亡率.结果:1996年1月～2004年6月共有符合入选标准的肠系膜动脉阻塞8例,肠系膜静脉阻塞9例,平均APACHE Ⅱ评分分别为9.4和8.2,平均SAPS Ⅱ评分分别为24.1和15.7,均无显著差异.结论:肠系膜动脉阻塞和肠系膜静脉阻塞具有不同的临床特点,两者的病情变异较大、相互重叠.

To summarize the clinical features of mesenteric ischemia, and to explore the application of scoring systems for intensive care in this syndrome. Methods: Retrospective study on the cases of mesenteric arterial occlusion and mesenteric venous occlusion in our hospital was done. Scores of APACHE II and SAPS II as well as the predicted death rate were calculated. Results: From January 1996 to June 2004, 8 cases of mesenteric arterial occlusion and 9 cases of mesenteric venous occlusion compatible with the inclusion criteria were collected. The average APACHE II scores were 9.4 and 8.2, and the average SAPS II scores were 24.1 and 15.7, for the mesenteric arterial and venous occlusion respectively, with no significant difference. Conclusion: Clinical features of mesenteric arterial and venous occlusion are different, both with variable and overlapping conditions.