常用危重症评分在脓毒症预后评价中的应用  

Clinical application of the evaluating systems in sepsis patients

作　　者：陈坤[1] 单红卫[1] 

机构地区：[1]中国人民解放军第二军医大学附属长征医院急救科,上海200003

出　　处：《中国急救医学》2014年第8期679-682,共4页Chinese Journal of Critical Care Medicine

摘　　要：严重的脓毒症和感染性休克是ICU患者的主要死亡原因，随着技术的进步、各项检查及监护措施的完善，各种治疗手段层出不穷。选择何种治疗手段在一定程度上决定了患者的预后，脓毒症的“时间依赖性”要求医生能在尽量短的时间内对患者预后做一个准确的判断。为了更好地评估患者预后，迄今为止提出了很多行之有效的评分标准，包括急性生理和慢性健康评分（ APACHEⅡ）、改良的早期预警评分（ MEWS ）、脓毒症死亡率评分（ MEDS ）及器官功能序贯衰竭评分（ SOFA）等。本文就各个评分标准的优缺点及最新进展进行综述，以期为急救科医生提供一个参考依据。Severe sepsis and septic shock may be the major cause of death in ICU .With the de-velopment of labrotary tests , monitoring facilities and managing methods , the clinical outcomes are get-ting better, which are mostly dependent on the timely corrected therapy .The“time dependence” of sep-sis requires doctors to evaluate the patients＆#39;prognoses as soon as possible , and for this reason , many ef-fective criteria were raised , including the APACHEⅡ, MEWS, MEDS, SOFA, etc.We reviewed the evaluating systems and the newest findings in this paper , to provide evidence support for doctors of emer-gency department and ICU .

关 键 词：脓毒症 评分系统 APACHEⅡ评分 MEWS评分 MEDS评分 PIRO评分 SOFA评分 APACHEⅡ 

分 类 号：R195.4[医药卫生—卫生统计学]