摘要
目的 为了准确评估重症心脏瓣膜病瓣膜置换的病情危预后。方法 采用ＡＰＡＣＨＥⅡ评分系统对６０例患者进行了评分分析。并计算其实际死亡率与预测死亡率。结果 ６０例患者ＡＰＡＣＨＥⅡ评分均值为１４．６０±７．１４（５～３４），死亡组（７例）的评分（２２．１４±８．１１）明显高于存活组（５３例）的评分（１３．８０±６．４７），差异有显著意义（Ｐ〈０．００１）。随着ＡＰＡＣＨＥⅡ评分的增高。
Objective:A trial was conducted in 60 patients with severe valvula heart disease following heart valve replacement,the APACHE Ⅱ score was used to quantify the severity of illness and to judge the outcome. Method:In this trial,the APACHE Ⅱ score of 60 cases was calculated,then the actual mortality and the predicted mortality were computed on the basis of this score. Results:The mean(±SD) APACHE Ⅱ score of these patients was 1460±714,and the score in the death group was significantly higher than in the living group(P<0001).The mortality rates rose gradually when the APACHE Ⅱ score increased from 5 to 34.The actual mortality was closely correlated with the predicted mortality for these patients(r=080,P<0001). Conclusion:The patients with severe valvula heart disease following heart valve replacement would be well served by APACHE Ⅱ for quality assurance or outcome.
出处
《福建医药杂志》
CAS
2000年第1期138-139,共2页
Fujian Medical Journal
关键词
重症心脏瓣膜病
瓣膜置换术
预后
APACHEⅡ
Severe valvula heart disease Heart valve replacement Prognosis APACHEⅡscore system
