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目的:探讨APACHEⅡ评分系统评估急诊危重者病情的及治疗预后的价值。方法:以我院急诊科重症监护室2007年12月-2012年5月收治的120例患者作为研究对象,入室即开始进行APACHEⅡ评分,都采用内科综合治疗。结果:经治疗,本组120例患者,存活110例,死亡10例,死亡率为8.3%,死亡组和存活组APACHEⅡ评分比较,差异有统计学意义(P<0.05),病死率随着评分的增加而增加(P<0.05)。结论:如何及时准确地评价急诊患者病情的严重程度和病死危险性,是急诊医生面临的一大问题。APACHE Ⅱ评分能较好地对急诊患者进行病情评估和预后判断。
Objective: To evaluate the value of APACHEⅡscore system in assessing the severity of emergency and the prognosis of emergency. Methods: A total of 120 patients admitted to Emergency Department of Intensive Care Unit of our hospital from December 2007 to May 2012 were enrolled in this study. Results: After treatment, 110 patients survived in this group, and 10 patients died. The mortality rate was 8.3%. There was significant difference in APACHEⅡscore between death group and survival group (P <0.05) Increase (P <0.05). Conclusion: How to evaluate the severity and mortality risk of emergency patients timely and accurately is one of the major problems for emergency doctors. APACHE Ⅱ score can be better for emergency patients to assess the condition and prognosis.