【摘要】 目的 探讨容量超负荷(fluid overload,FO)水平在评价危重病患者预后中的意义。方法 对2013-03~10在南京医科大学第一附属医院综合ICU住院的100例危重患者,评估其病程中FO水平,分析FO水平与APACHEⅡ评分及危重症患者的病死率、ICU治疗时间、机械通气时间等主要预后指标的关系。结果 100例患者存活80例,死亡20例,病死率为20.0%。其中死亡组APACHEⅡ评分和FO水平均高于存活组(P<0.01)。APACHEⅡ评分、ICU治疗时间、机械通气时间及病死率随着FO水平升高而升高。结论 FO水平和APACHEⅡ评分的升高对危重症患者的存活、机械通气时间、ICU治疗时间等主要预后指标的预测有重要意义。更多还原

【Abstract】 Objective To evaluate the role of fluid overload(FO) level in the prognosis assessment of critically ill patients.Methods One hundred critically- ill patients in ICU of the First Affiliated Hospital of Nanjing Medical University were enrolled from March 2013 to October 2013.The FO level was measured in the hospitalization duration.The correlations between FO and acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ) score,length of ICU stay,duration of ventilation and mortality were analyzed.Results There were 80 survivals and 20 deaths in 100 admissions.The average APACHE II score and FO level in the survival group were lower than those in death group(P <0.01).One hundred patients were divided into 3 groups according to their FO levels.With the increase of FO level,APACHE Ⅱ score,length of ICU stay and mortality all increased.Conclusion The increasing level of FO and APACHE Ⅱ score have significant implications in prognosis assessment of survival rate,duration of ventilation and length of ICU stay in critically ill patients.更多还原