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| MEWS和SMART-COP评分预测重症甲型H1N1流感机械通气临床研究 | |
| 引用本文： | 徐建如,施利群,钱骏,刘华,邱斌,韩旭东,黄晓英. MEWS和SMART-COP评分预测重症甲型H1N1流感机械通气临床研究[J]. 临床荟萃, 2010, 25(16): 1381-1383 |
| 作者姓名： | 徐建如 施利群 钱骏 刘华 邱斌 韩旭东 黄晓英 |
| 作者单位： | 南通大学附属南通三院急诊科,江苏,南通,226006 |
| 摘 要： | 目的 评价改良早期预警评分(MEWS)和SMART-COP评分预测重症甲型H1N1流感患者是否需要机械通气的价值.方法 对资料齐全的50例重症甲型H1N1流感患者进行回顾性分析,计算MEWS和SMART-COP评分和评估其是否需要进行机械通气的灵敏度和特异度.结果 MEWS预测患者机械通气灵敏度为92.9%,特异度为83.3%,准确度为86.0%,约登指数为0.76;SMART-COP评分预测患者机械通气灵敏度为71.4%,特异度为97.2%,准确度为900.%,约登指数为0.68.结论 MEWS预测患者机械通气有很高的灵敏度和特异度,有很好的预测价值,且操作简单.SMART-COP评分灵敏度较低,有很高的特异度,对预测机械通气有较好的价值. |
| 关 键 词： | 高血压 心脏扩大 胶原Ⅲ型 |
Clinical assessment of MEWS and SMART-COP on patients with severe influenza A H1N1 |
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| XU Jian-ru,SHI Li-qun,QIAN Jun,LIU Hua,QIU Bin,HAN Xu-dong,HUANG Xiao-ying. Clinical assessment of MEWS and SMART-COP on patients with severe influenza A H1N1[J]. Clinical Focus, 2010, 25(16): 1381-1383 | |
| Authors: | XU Jian-ru SHI Li-qun QIAN Jun LIU Hua QIU Bin HAN Xu-dong HUANG Xiao-ying |
| Affiliation: | XU Jian-ru,SHI Li-qun,QIAN Jun,LIU Hua,QIU Bin,HAN Xu-dong,HUANG Xiaoying Department of Emergency,the Third Affiliated Hospital of Nantong University,Nantong 226006,China |
| Abstract: | Objective To evaluate the predictive value of modified early warning score(MEWS) and SMART-COP on the patients with severe influenza A H1N1 to demand mechanical ventilation.Methods Retrospective analysis was conducted on 50 cases who were diagnosed influenza A H1N1.The MEWS and SMART-COP score were calculated,and the sensitivity and specificity were evaluated if the patients with pneumonia of influenza A H1N1 demanded mechanical ventilation.Results The sensitivity of the MEWS was 92.9%,and the specificity 8... |
| Keywords: | influenza human influenza A virus H1N1 subtype respiration artificial research design |
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