重庆医学Issue(24)：3174-3175,2.DOI:10.3969/j.issn.1671-8348.2014.24.019
APACHEⅡ评分对急性重症有机磷中毒患者预后判断的价值
Prognostic value of APACHE Ⅱ score in patients with severe acute organophosphorus poisoning
张季元 1古金华 1何世娟 1刘国平 1王云章 1徐辉2
作者信息
- 1. 四川省宜宾市第二人民医院急诊科 644000
- 2. 四川省人民医院急救中心，成都610000
- 折叠
摘要
Abstract
Objective To explore the prognostic value of APACHE Ⅱscore in patients with Severe acute organophosphorus poi-soning .Methods 42 patients with Severe acute organophosphorus poisoning ,in which 34 cases survived ,8 cases dead ,were select-ed .The APACHE Ⅱscores of patients in first 24 h of admission were collected ,and receiver operating characteristic curves (ROC curve) were drawn .Results APACHE Ⅱ score of the 42 patients with Severe acute organophosphorus poisoning was 18 ~30 (20 .11 ± 6 .32) ,in which the survival group was(16 .10 ± 3 .12) ,the dead group was(28 .01 ± 4 .46) (P<0 .01) .With the increase of APACHE Ⅱ score ,the fatality rate gradually increased .The total area under the ROC curves of APACHE Ⅱ score for death judgment was 0 .922 ,APACHE Ⅱ score of 21 .2 was the best diagnostic point ,the sensitivity was 95% ,and specificity was 89% . Conclusion The APACHE Ⅱscore could predict severity of patients with Severe acute organophosphorus poisoning ,and APACHEⅡscore ≥21 .2 could be used as the prognosis for death of the patients .关键词
重度急性有机磷中毒/急性生理学与慢性健康状况评分Ⅱ/预后判断Key words
severe acute organophosphorus poisoning/APACHE Ⅱ score/clinical prognosis分类
医药卫生引用本文复制引用
张季元,古金华,何世娟,刘国平,王云章,徐辉..APACHEⅡ评分对急性重症有机磷中毒患者预后判断的价值[J].重庆医学,2014,(24):3174-3175,2.
