首页 | 本学科首页   官方微博 | 高级检索  
     

肺栓塞严重指数对急性肺栓塞预后的预测价值
引用本文:陈辉,梁雄,杨祯玲,陈中华,赵雅丽,左斌,任建霞. 肺栓塞严重指数对急性肺栓塞预后的预测价值[J]. 岭南急诊医学杂志, 2012, 17(1): 1-4
作者姓名:陈辉  梁雄  杨祯玲  陈中华  赵雅丽  左斌  任建霞
作者单位:1. 深圳市宝安区松岗人民医院,518105
2. 深圳市宝安区人民医院
3. 湖南省岳阳市第一人民医院
4. 深圳市宝安区福永人民医院
5. 广州市第十二人民医院
6. 湖南省常德市第四人民医院
基金项目:深圳市科技计划项目(医疗卫生类项目)
摘    要:目的:探讨肺栓塞严重指数(PESI)对急性肺栓塞(PE)的预测价值。方法:利用PESI对6家医院2005年01月~2009年12月期间住院PE患者30天内的预后转归进行回顾性分析。结果:共收集PE患者185例,30d死亡率为11.9%,Ⅰ级0%、Ⅱ级2.4%、Ⅲ级6.5%、Ⅳ级15%、Ⅴ级22.5%,随PESI危险级别上升而显著升高(P0.001)。PESI预测死亡率准确度显示敏感性及阴性预测值均高。结论:利用PESI对PE进行危险分层,可较准确地判断PE预后,进而指导临床早期干预,改善预后。

关 键 词:肺栓塞  肺栓塞严重指数  预后

Prognostic Value of Pulmonary Embolism Severity Index in Patients with Acute Pulmonary Embolism
CHEN Hui , LIANG Xiong , YANG Zhen-ling , CHEN Zhong-hua , ZHAO Ya-li , ZUO Bin , REN Jian-xia. Prognostic Value of Pulmonary Embolism Severity Index in Patients with Acute Pulmonary Embolism[J]. Lingnan Journal of Emergency Medicine, 2012, 17(1): 1-4
Authors:CHEN Hui    LIANG Xiong    YANG Zhen-ling    CHEN Zhong-hua    ZHAO Ya-li    ZUO Bin    REN Jian-xia
Affiliation:1.People's Hospital of Songgang , Baoan District, Shenzhen , 518105 2.People's Hospital of Baoan District, Shenzhen3.the First People's Hospital of Yueyang , Yueyang , Hunan Province 4.People 's Hospital of Fuyong , Baoan District, Shenzhen 5.the 12th People's Hospital of Guangzhou, Guangzhou 6.the 4th People's Hospital of Changde, Changde ,Hunan Province
Abstract:Objective:To explore the prognostic value of pulmonary embolism (PE) severity index (PESI) in patients with acute PE. Methods: The 30-day prognosis of the patients with PE from Jan 2005 to Dec 2009 in six hospitals were analyzed retrospectively by PESI. Results: 185 patients with PE were collected,and the total mortality was 11.9% in 30-day, ranging from 0% in class I to 22.5% in class V. The PESI had a high sensitivity and a negative predictive value for predicting mortality. Conclusions: The PESI can reliably predictive prognosis for patients with PE and may help physicians make rational decisions early to improve the prognosis.
Keywords:pulmonary embolism  pulmonary embolism severity index  prognosis
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号