摘要
目的 探讨小儿危重病例评分 (PCIS)和全身炎症反应综合征 (SIRS)在评估儿科病人病情和预后的关系。方法 180例急诊患儿在入院 1、3、7d作PCIS和SIRS指标和检查。结果 PCIS越低 ,SIRS病例越多。d1、d3、d7PCIS为 87.1分、92分、94.2分 (P <0 .0 0 1) ,SIRS病例占 5 0 %、19.9%、9.7% ,差异显著 (P <0 .0 5 )。PCIS危重 (～ 80分 )、极危重 (～ 70分 )组SIRS病例占 83 .3 % ,较非危重组 (～ 10 0分 ) 3 9.9%明显升高(P <0 .0 0 0 1)。SIRS组PCIS低 ,病死率高 (P <0 .0 0 0 1)。SIRS病例PCIS≤ 80分时 ,病死率显著升高 (P <0 .0 1)。与PCIS动态评估不同 ,持续SIRS病例病死率无明显升高。结论 PCIS与SIRS在评估病情、反映病情演变等方面有较高的相关和一致性 ,生理学危重评估系统与SIRS有密切联系。SIRS病例PCIS≤ 80分 ,死亡危险明显增加。PCIS动态评估对全面评价患儿状态和预后非常有意义。SIRS应注重早期识别和监测。
Objective To investigate the relation between pediatric critical illness score(PCIS)and systemic inflammatory response syndrome(SIRS)for assessing patients′ condition and prognosis.Methods Prospective analysis of 180 emergency admissions whose PCIS and SIRS items were recorded on d1, d3, d7 admitted days.Results The lower the PCIS were, the more the SIRS cases. d1?d3?d7 PCIS were 87.1?92?94.2 scores respectively(P<0.001), The SIRS cases were 50 %,19.9 %,9.7 %, correspondingly(P<0.05). In PCIS′ serious, extremely serious groups,the SIRS cases were 83.3 % which were much higher than PCIS′ non serious group(39.9 %,P<0.0001). In SIRS cases the PCIS scores were lower and the mortality rate was higher(P<0.0001). When SIRS cases′ PCIS≤80 scores, the mortality rate of these cases was significantly higher than other patients(P<0.01).Conclusions PCIS and SIRS have close correlation and high concordance in assessing patients′ condition and prognosis. There are close correlation between severity score system of physiologic illness and SIRS .When SIRS cases′ PCIS≤80 scores, the risk of death will be much higher. The dynamic PCIS has significance in assessing the patients′ conditions and prognosis; SIRS emphasize on early identification and detection.
出处
《实用儿科临床杂志》
CAS
CSCD
北大核心
2003年第2期105-107,共3页
Journal of Applied Clinical Pediatrics
关键词
危重病例评分
全身炎症反应综合征
病情评估
预后
pediatric critical illness score
systemic inflammatory response syndrome
assessment of patients′ condition
prognosis
