ICD-11与ICD-10脓毒症分类的比较分析  

Comparative Analysis of ICD-11 and ICD-10 Sepsis Classification

作　　者：刘骏峰[1] 刘莎 庞辉[1] Liu Junfeng;Liu Sha;Pang Hui(Medical Records Department of First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China;不详)

机构地区：[1]中山大学附属第一医院病案管理科,广东省广州市510080

出　　处：《中国病案》2023年第5期46-49,共4页Chinese Medical Record

摘　　要：探讨脓毒症的ICD-10与ICD-11分类的基础上,按一般人群脓毒症、孕产妇脓毒症和新生儿脓毒症3种情况,对脓毒症在ICD-10与ICD-11中的编码原则进行总结。在ICD-10中,脓毒症分类于A41.9,脓毒性休克分类于R57.2。而在ICD-11中,脓毒症分为1G40表示脓毒症不伴脓毒性休克和1G41表示脓毒症合并脓毒性休克。在选择主要编码时,ICD-11继承了ICD-10的编码原则,即病因优先的原则,首先编码导致脓毒症的具体感染,再编码脓毒症。所不同的是,ICD-10的脓毒性休克被分类于症状、体征章节,而ICD-11分类于感染性疾病章节,体现了医学最新的研究进展。编码员不仅要积极学习临床医学相关知识,同时也要积极学习ICD-11的组织架构和编码规则。On the basis of discussing the ICD-10 and ICD-11 classification of sepsis,this paper summarizes the coding principles of sepsis in ICD-10 and ICD-11,including general sepsis,maternal sepsis,and neonatal sepsis.In ICD-10,sepsis is classified in A41.9 and septic shock is classified in R57.2,while in ICD-11,sepsis is divided into 1G40 for sepsis without septic shock and 1G41 for sepsis with septic shock.When choosing the primary coding,both ICD-10 and ICD-11 follow the principle of etiology priority.The specific infection causing sepsis is coded first,followed by sepsis.The difference is that ICD-10 septic shock is classified in the chapters of symptoms and signs,while ICD-11 is classified in the chapter on infectious diseases,reflecting the latest medical research progress.Coders should actively learn relevant knowledge of clinical medicine,as well as the organizational structure and coding rules of ICD-11.

关 键 词：ICD-10 ICD-11 脓毒症 对比研究 

分 类 号：R459.7[医药卫生—急诊医学] R197.323[医药卫生—治疗学]