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为了准确评估高龄外科危重患者的预后及治疗效果，作者对２０６例高龄危重患者进行了分析，采用ＡＰＡＣＨＥⅡ评分系统对疾病的危重程度进行评分，并对前后两个阶段病例进行分组对照，结果显示：ＡＰＡＣＨＥⅡ评分均值为２０．３分，死亡患者（２０例）的ＡＰＡＣＨＥⅡ评分（２６．３分）明显高于存活患者（１８６例）的ＡＰＡＣＨＥⅡ评分（１５．４分），差异有显著性。随着ＡＰＡＣＨＥⅡ评分增高，死亡率亦逐渐增高。通过ＡＰＡＣＨＥⅡ评分的动态观察，显示了对高龄危重患者治疗水平的变化，第一组患者经过两天治疗ＡＰＡＣＨＥⅡ评分下降２．７分，第二组下降６．６分，两组病种及最初进入ＩＣＵ病房的ＡＰＡＣＨＥⅡ评分无差异，在ＩＣＵ病房两组出现了不同的死亡率：１２．６％与６．８％，有显著性差异（ｐ＜０．０５）。作者认为：在高龄外科危重患者的临床工作中，ＡＰＡＣＨＥⅡ评分系统作为评估其预后指标有着重要作用。
In order to accurately assess the prognosis and treatment effect of critically ill elderly patients, the author of 206 cases of critically ill patients were analyzed using the APACHE Ⅱ scoring system to assess the severity of the disease, and the two stages before and after the case-control group, the results showed that: The APACHE II score was 20.3 and the APACHE II score (26.3) of death patients (20 patients) was significantly higher than that of survivors (186 patients) APACHE II score (15.4), the difference was significant. With the APACHE Ⅱ score increased, the mortality rate also increased gradually. Through the dynamic observation of APACHEⅡscore, the changes of the treatment level to the elderly were shown. In the first group, the APACHEⅡscore decreased 2.7 points and the second group fell 6.6 points after two days treatment. The two groups of diseases and their initial entry There were no differences in APACHE II scores in ICU wards. Different mortality rates were found in two groups of ICU wards: 12.6% and 6.8%, respectively, with significant differences (p <0.05). The authors believe that: APACHE Ⅱ scoring system plays an important role in assessing prognosis in the clinical work of critically ill elderly patients.