急性心力衰竭综合病因评分预计死亡率研究

目的 探讨急性心力衰竭病因评分在急性心力衰竭疾病中的应用价值.方法 采用APACHEⅡ评分、心力衰竭基础病因及诱因综合评分,在此评分基础上对42 例急性心力衰竭患者预计死亡率进行评估并建立预计死亡率模型,分层计算群体预计死亡率.结果 根据急性心力衰竭病因评分分值进行分组,随着分值逐渐升高,实际病死率和预计死亡率也逐渐升高,死亡组评分均值显著高于生存组(P＜0.05).结论 急性心力衰竭病因评分系统简易实用,可用于院前急救及急诊急性心力衰竭患者初步评估.

Prediction of mortality in acute heart failure patients by acute heart failure etiology score

Objective To evaluate the application value of acute heart failure etiology score for patients with acute heart failure. Methods We reformed the traditional ATACHE Ⅱ score into a new assessment system named acute heart failure etiological score, which is related directly to the emergency treatment and target assess- ment. 42 acute heart failure patients were assessed with acute heart failure etiology and hierarchically calculated the anticipated mortality. Results An increased acute heart failure etiological score is related to an increased mortality rate. The acute heart failure etiology score in the mortality group was higher than the survival group with a signifi- cant difference （P〈0.05）. Conclusion Acute heart failure etiological score can be used to evaluate the prognosis for acute heart failure patients.