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目的:探讨应用急性生理和慢性健康状况(APACHEⅡ)评分评估有机磷农药中毒患者的病情严重程度及预后的意义。方法:回顾性分析我院有机磷农药中毒患者51例,记录与APACHEⅡ评分系统相关的数据,并对患者的APACHEⅡ评分进行统计学分析。结果:51例患者APACHEⅡ评分3～28分。7例死亡患者APACHEⅡ评分(21.43±5.41)分,44例存活患者APACHEⅡ评分(8.75±3.29)分,两组之间差异有统计学意义(P<0.01)。结论:APACHEⅡ评分对中毒的预后预测可能有一定的作用。
Objective: To evaluate the severity and prognosis of patients with organophosphorus pesticide poisoning using acute physiology and chronic health status (APACHEⅡ) score. Methods: A retrospective analysis of 51 cases of organophosphorus pesticide poisoning in our hospital, recording data related to the APACHE Ⅱ scoring system, and the patient’s APACHE Ⅱ score for statistical analysis. Results: 51 patients APACHE Ⅱ score of 3 to 28 points. The APACHE Ⅱ score was 21.43 ± 5.41 in 7 death patients and APACHE Ⅱ score in 44 surviving patients (8.75 ± 3.29). There was significant difference between the two groups (P <0.01). Conclusion: APACHE Ⅱ score may predict the prognosis of poisoning to a certain extent.