ICD-10败血症相关疾病的编码探讨  

Discussion on ICD-10 coding of septicemia related diseases

作　　者：吴妙婷[1] 文建珍[1] 叶丽华[1] 徐素梅[1] Wu Miaoting;Wen Jianzhen;Ye Lihua;Xu Sumei(The Fifth Affiliated Hospital of Sun Yat-sen University,Zhuhai 519000,China)

机构地区：[1]中山大学附属第五医院

出　　处：《中国医院统计》2019年第5期392-393,396,共3页Chinese Journal of Hospital Statistics

摘　　要：ICD-10败血症分类轴心为致病病原菌。近年来,对败血症的研究越来越重视机体对微生物及其毒素所产生的全身反应,并将宿主对感染的反应失调引起的危及生命的器官功能障碍称为脓毒血症。而脓毒血症的诊断不需要阳性的血培养结果。由于ICD-10败血症编码A41.9不能准确表达临床脓毒血症的严重程度和疾病的特点,全国版编码库用扩展码作了区分,如A41.900败血症和A41.901脓毒血症。临床上各种不同的定义及术语极易造成混淆,为了更好地理解各种容易混淆的临床术语,本文概述了ICD-10败血症相关疾病的的定义和编码。在国家未正式使用ICD-11编码时,探讨如何准确地进行相关疾病的ICD-10分类,能体现临床研究的新进展。ICD-10 septicemia is classified as pathogenic bacteria.In recent years,more and more attention has been paid to systemic reactions of organisms to microorganisms and their toxins in the study of septicemia,and life-threatening organ dysfunction caused by maladjustment of host response to infection is called sepsis.The diagnosis of sepsis does not require positive blood culture results.Since ICD-10 coding of septicemia A41.9 could not accurately express the severity and disease characteristics of clinical sepsis,the national version of the coding library made a distinction with the expanded code,such as A41.900 septicemia and A41.901 sepsis.Various clinical definitions and terms are easily confused.In order to better understand the clinical terms,the definition and coding of icd-10 sepsis related diseases are summarized.At present,when the country does not use ICD-11 code,the country discusses how to accurately classify related diseases with ICD-10 and can reflect the new progress of clinical research.

关 键 词：ICD-10 败血症 脓毒血症 

分 类 号：R197.323[医药卫生—卫生事业管理]