简述APACHE评分系统  

A Brief Introduction for APACHE Scoring System

作　　者：袁丹凤[1] 邱俊[1] 李平昂[2] 周峻峰[2] 代维[1] 周代君[1] 梁毅[1] 周继红[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所,重庆400042 [2]第三军医大学西南医院普通外科,重庆400038

出　　处：《伤害医学（电子版）》2014年第4期52-55,共4页Injury Medicine(Electronic Edition)

摘　　要：急性生理和慢性健康状况评估(Acute physiology and chronic health evaluation,APACHE)是一种以记分方式判断危重病人病情严重程度的方法,其客观、准确、实用,对危重病人的病情和预后具有良好的预测能力,并对临床救治有指导价值,因而被广泛用于ICU(Intensive Care Unit,重症监护室)和严重创伤的救治过程中.早期的APACHE Ⅰ评分,其参数多,使用不方便,准确性不高;随后出现的APACHEⅡ评估的准确性和实用性得到明显改善,是目前国内外ICU领域应用最为广泛的危重病病情评价系统;APACHEⅢ对病情和结局的评价和预测又有所改进,具有较高的实用价值,逐渐受到关注.The acute physiology and chronic health evaluation (APACHE) is used to evaluate the severity of critically ill patients by a scoring method. It's objective, accurate and practical. It has good predictive ability for condition and prognosis of critically ill patients and has guidance value for the clinical treatment, so it is widely used for ICU and the treatment of severe trauma. Early APACHE I has complicated parameters. Its clinical application is inconvenient and the accuracy is poor;subsequent APACHE II has an obvious improvement in the accuracy and practicability and it is currently being used as the most extensive critical illness evaluation system in the field of critical illness at all around the world. APACHElmakes a further development in evaluation and prediction of the illness and has a high practical value, leading to a gradually attention.

关 键 词：APACHE 评分系统 危重病 改进 

分 类 号：R459.7[医药卫生—急诊医学]