• 急性肺栓塞患者预后评估采用两种评分系统的价值探讨
  • The application value of two scoring systems in evaluating prognosis of patientswith acute pulmonary embolism
  • 林石宁,王发辉,石慧芳,陈山,徐建光.急性肺栓塞患者预后评估采用两种评分系统的价值探讨[J].内科急危重症杂志,2017,23(2):
    DOI:
    中文关键词:  急性肺栓塞  预后评估  评分系统
    英文关键词:acute pulmonary embolism  prognosis  scoring system
    基金项目:
    作者单位E-mail
    林石宁 海南医学院第二附属医院 lsn5703367@163.com 
    王发辉 海南医学院第二附属医院  
    石慧芳 海南医学院第二附属医院  
    陈山 海南医学院第二附属医院  
    徐建光 海南医学院第二附属医院  
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    中文摘要:
          【】目的:两种评分系统在急性肺栓塞患者预后评估中的应用价值探讨。 方法:对2012年6月~2015年6月在我院进行接治的100例疑似急性肺栓塞患者进行研究,根据患者的诊断结果分为急性肺栓塞组和非急性肺栓塞组,根据PESI评分与WELLS评分患者的入院情况以及预后进行记录分析,对两组评分系统对急性肺栓塞的诊断与预后评估进行对比分析。结果:肺栓组患者的WELLS评分明显高于非肺栓组(P<0.05),急性肺栓塞组与非肺栓塞组的WELLS等级存在明显差异(P<0.05),不同WELLS等级的急性肺栓塞患者的存活时间并无明显差异(P>0.05),患者的生存时间随着PESI等级的增高而明显缩短(P<0.05)。 结论:WELLS评分对急性肺栓塞的诊断具有良好的指导意义,对患者的预后并无指导意义,PESI评分对患者的预后有良好的指导作用,患者的生存时间随着PESI等级的增高而明显缩短。
    英文摘要:
          Objective The application value of two scoring systems in evaluating prognosis of patients with acute pulmonary embolism. Methods 100 cases of suspected acute pulmonary embolism patients from June 2012 to June 2015 in our hospital were collected,the subjects were divided into acute pulmonary embolism group and non acute pulmonary embolism group according to the patients" diagnosis, the PESI score and Wells score of patients were recorded and compared, analysis of the two scoring system in patients with acute pulmonary embolism diagnosis and prognosis assessment. Results Wells score of pulmonary embolism group higher than those in non pulmonary embolism group (P<0.05) and acute pulmonary embolism group and non pulmonary embolism group wells level exist significant difference (P<0.05), wells of different grades of acute pulmonary embolism patients survival time is not significantly different (P>0.05), patient survival time with PESI level increased significantly decreased (P<0.05). Conclusion Wells score in the diagnosis of acute pulmonary embolism with good guidance, to the patient"s prognosis of no significance, PESI scoring the prognosis of patients with good guidance, patients survival time with PESI level increased significantly decreased.