APACHE Ⅱ评分系统对内科急诊危重患者病情评估的价值及预后

The emergency critically ill patients prognosis assess by the APACHE Ⅱ score

目的:探讨APACHEⅡ评分系统评估急诊危重者病情的及治疗预后的价值。方法:以我院急诊科重症监护室2007年12月-2012年5月收治的120例患者作为研究对象,入室即开始进行APACHEⅡ评分,都采用内科综合治疗。结果:经治疗,本组120例患者,存活110例,死亡10例,死亡率为8.3%,死亡组和存活组APACHEⅡ评分比较,差异有统计学意义(P<0.05),病死率随着评分的增加而增加(P<0.05)。结论:如何及时准确地评价急诊患者病情的严重程度和病死危险性,是急诊医生面临的一大问题。APACHE Ⅱ评分能较好地对急诊患者进行病情评估和预后判断。

Objective： To investigate the prognostic value of emergency critically ill patients prognosis assess by the APACHE Ⅱ score. Methods： Selected 120 cases admitted to the intensive care unit in my hospital emergency department from December 2007 to May 2012, Burglary started were began to APACHE Ⅱ score, and then used medical treatment. Results： After treatment, the survival were 110 cases 10 patients were died, the mortality rate was 8.3%, the APACHE Ⅱ scores between the death group and survival group were statistically significant （P 〈0.05）, the mortality rate with the increase in the score increased （P 〈0.05）. Conclusion： How to timely and accurately evaluation of emergency patients＇ severity of illness and death risk is big problem that faced by the emergency physician. The APACHE II score has better value of emergency patients for disease assessment and prognosis.