中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2011年
11期
1167-1169
,共3页
急性生理学和慢性健康评估系统%小孔多方位颅内血肿抽吸术%重症脑出血
急性生理學和慢性健康評估繫統%小孔多方位顱內血腫抽吸術%重癥腦齣血
급성생이학화만성건강평고계통%소공다방위로내혈종추흡술%중증뇌출혈
Acute physiology and chronic health evaluation%Pin hole multi-directional intracranial hematoma aspiration%Severe cerebral hemorrhage
目的 评估急性生理学和慢性健康评估系统(APACHEⅡ)在预测小孔多方位颅内血肿抽吸术治疗重症脑出血的预后判断方面的应用价值.方法 58例重症脑出血患者随机分为2组.治疗组30例,采用小孔多方位颅内血肿抽吸术;对照组28例,采用药物保守治疗.应用APACHEⅡ评分评估患者病情严重程度并判断预后,评价小孔多方位颅内血肿抽吸术手术效果.结果 治疗组患者APACHEⅡ评分第1天为(28.00±1.92)分;预测群体病员死亡风险率0.86±0.03;第10天明显下降,达(8.20±0.76)分,预测群体病员死亡风险率0.57±0.05;实际病死率达33.33％.结论 APACHEⅡ评分系统适用于判断重症脑出血患者的病情严重程度及预测预后,同时证明小孔多方位颅内血肿抽吸术的疗效显著.
目的 評估急性生理學和慢性健康評估繫統(APACHEⅡ)在預測小孔多方位顱內血腫抽吸術治療重癥腦齣血的預後判斷方麵的應用價值.方法 58例重癥腦齣血患者隨機分為2組.治療組30例,採用小孔多方位顱內血腫抽吸術;對照組28例,採用藥物保守治療.應用APACHEⅡ評分評估患者病情嚴重程度併判斷預後,評價小孔多方位顱內血腫抽吸術手術效果.結果 治療組患者APACHEⅡ評分第1天為(28.00±1.92)分;預測群體病員死亡風險率0.86±0.03;第10天明顯下降,達(8.20±0.76)分,預測群體病員死亡風險率0.57±0.05;實際病死率達33.33％.結論 APACHEⅡ評分繫統適用于判斷重癥腦齣血患者的病情嚴重程度及預測預後,同時證明小孔多方位顱內血腫抽吸術的療效顯著.
목적 평고급성생이학화만성건강평고계통(APACHEⅡ)재예측소공다방위로내혈종추흡술치료중증뇌출혈적예후판단방면적응용개치.방법 58례중증뇌출혈환자수궤분위2조.치료조30례,채용소공다방위로내혈종추흡술;대조조28례,채용약물보수치료.응용APACHEⅡ평분평고환자병정엄중정도병판단예후,평개소공다방위로내혈종추흡술수술효과.결과 치료조환자APACHEⅡ평분제1천위(28.00±1.92)분;예측군체병원사망풍험솔0.86±0.03;제10천명현하강,체(8.20±0.76)분,예측군체병원사망풍험솔0.57±0.05;실제병사솔체33.33％.결론 APACHEⅡ평분계통괄용우판단중증뇌출혈환자적병정엄중정도급예측예후,동시증명소공다방위로내혈종추흡술적료효현저.
Objective To evaluatethe application value of APACHE Ⅱ on the prognoses in prediction of pin hole multi-directional intracranial hematoma aspiration to cure severe cerebral hemorrhage.Methods APACHE Ⅱ scoring system was conducted in randomly collected 58 severe cerebral hemorrhage patients' data (30 patients underwent surgical treatment,28 patients underwent conservative treatment)to evaluate the disease severity,prognosis and effect of the pin hole multi-directional intracranial hematoma aspiration.Results The APACHE Ⅱ score of treatment group on the first day was 28.00 ± 1.92 and the predicted mortality was 0.86 ±0.03.The score was decreased obviously on the tenth day(8.20 ± 0.76)and the predicted mortality was 0.57 ± 0.05.The actual mortality was 33.33％.Conclusion APACHE Ⅱ scoring system is suitable for judging the disease severity and predicting the prognosis of severe cerebral hemorrhage patients,it proves that surgical treatment effect of the pin hole multi-directional intracranial hematoma aspiration is remarkable.
