【摘要】 目的分析小儿危重症病例评分(PCIS)在儿科重症监护病房(PICU)应用。方法选取2012-02~2014-12间在我院PICU病房的危重病患儿1200例。对入选患儿进行3次评分,依次将其记为A组、B组和C组。对比各组评分结果及疾病构成。结果 90分以上的死亡率为0.32%(1/316),明显低于89分以下的死亡率,差异均有统计学意义(均P<0.05)。C组评分为90分以上所占比例,明显高于A组和B组,P<0.05差异有统计学意义。入院患儿以重症肺炎、脓毒症、重症手足口病、脑炎为主。因重症肺炎行气管插管机械通气者评分90分以上者和90分以下者相比差异无统计学意义(均P<0.05)。其他疾病需行气管插管机械通气者评分90分以上者和90分以下者两组相比差异有统计学意义(均P<0.05)。脏器功能损害情况与评分结果负相关,评分越高,发生率越低,累及个数越少。结论目前危重症评分,对小儿单系统疾病病变为主时,不能很好的反映其疾病预测疾病发展变化,因而及时早期干预极为重要。更多还原

【Abstract】 Objective To analyze pediatric critical illness score( PCIS) application in the pediatric intensive care unit. Methods Selecting 1200 critical care children with in ICU of the hospital from February,2012 to December,2014. For the 3 times scoring for selected patients,they were divided into group A,group B and group C. Comparison of the results and main diseases was done. Results The mortality rate of 90 points above was 0. 32%( 1 /316),which was significantly lower than the mortality rate below 89 points. The differences were statistically significant( P < 0. 05). 90 points above of group C was significantly higher than group A and group B,with statistical meaning( P < 0. 05). Severe pneumonia,severe hand foot and mouth disease and encephalitis were the main reasons. There was no statistical significance of mechanical ventilation in patients with 90 scores above and less than 90 scores( P < 0. 05). There was statistical significance of other diseases requiring intubation between 90 scores above and less than 90 scores( P < 0. 05). Conclusion At present,the critical illness score is not good for the disease of single system disease,it can not reflect the development and change of the disease,and the early intervention is very important.更多还原