改良Possum评分系统对胸外科术后患者并发症及手术死亡的预测价值分析  

Predictive value of possum modified scoring system for thoracic surgery postoperative complications and operative mortality

作　　者：翟乃璞 翟淼浡 蒲哲 

机构地区：[1]山东省淄博市淄川区医院外一科,山东淄博255100

出　　处：《中国现代医生》2013年第26期143-144,147,共3页China Modern Doctor

摘　　要：目的探讨改良Possum评分系统对胸外科术后患者并发症及手术死亡的预测价值。方法将2007年7月～2012年7月入住我院的80例行胸外科患者的临床资料进行回顾性分析。手术前本组患者均行改良Possum评分预测术后并发症以及死亡率，且与实际发生并发症以及死亡的例数进行对比。结果经改良的Possum评分系统预测术后并发症发生率为37．50％（30／80），并发症实际发生率为40．00％（32／80），两组相比差异无统计学意义（P〉0．05）；Possum评分系统预测术后死亡率为12．50％（10／80），实际死亡率为2．50％（2／80），两组相比差异有统计学意义（P〈0．05）。结论改良Possum评分系统对胸外科术后患者并发症具有一定的预测价值，但是对术后患者的死亡情况可能存在过度预测。Objective To investigate the modified scoring system for Thoracic Surgery Possum postoperative complica tions and operative mortality predictive value. Methods From July 2007 to July 2012, 80 hospital stay thoracic surgery routine clinical data were retrospectively analyzed. This group of patients before surgery underwent changed Possum score predicts postoperative complications and mortality, and the occurrence of complications and death and the actual number of cases for comparison. Results Improved Possum scoring system in predicting postoperative complication rate was 37.50% （30/80）, the actual rate was 40.00% of complications （32/80）, the two groups there was no statistical dif ference （P 〉 0.05）; Possum scoring system in predicting postoperative mortality rate was 12.50% （10/80）, the ac tual mortality rate was 2.50% （2/80）, the two groups, the difference was statistically significant （P 〈 0.05）. Conclusion The modified Possum scoring system for postoperative complications in thoracic surgery has some predictive value, but postoperative mortality may exist over predictions.

关 键 词：改良Possum评分系统 胸外手术 术后并发症 术后死亡 预测价值 

分 类 号：R655[医药卫生—外科学]