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題 名 | Application of APACHE Ⅱ Score to Assess Disease Severity in Acute Poisoning of Cholinesterase Inhibitors: A Preliminary Report=APACHE Ⅱ評分系統在評估急性膽素脂酶仰制劑中毒之疾病嚴重度的運用:初報 |
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作 者 | 楊允輔; 許秉毅; 鍾孝民; 張淑文; 方華章; 詹世煌; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷 期 | 8:1 1997.03[民86.03] |
頁 次 | 頁1-6 |
分類號 | 418.22 |
關鍵詞 | APACHE Ⅱ評分系統; 膽素脂酶抑制劑; 中毒; APACHE Ⅱ score; Cholinesterase inhibitor; Poisoning; |
語 文 | 英文(English) |
中文摘要 | 為探討APACHE II評分系統在評估急性膽素指�t抑制劑中毒時之疾病嚴重度的運用價值,我們自1992年1月至1993年12月,進行本前瞻性研究。 我們以40位急性膽素脂�t抑制劑中毒之患者進入本研究。計算其入院時之APACHE II分數依分數高低將患者分為輕度、中度及重度中毒三組(其分數依次為:0-10,11-20,≧21分),並觀察各患者至出院後第 5天。而後比較三組之預後。 其結果:患者入院時之APACHE II分數介於0至34分之間,其數值與血清偽膽素脂�t濃度並無線性關係(r=-0.246,p=0.125)。重度中毒組較輕度中毒組之預後差,亦即前者有較高比例之病患須接受氣管插管(p<0.05)及機械輔助呼吸(p<0.01),同時死之率也較高(p<0.05)。而雖然重度中毒組與中度中毒之組之間,以及中度中毒組與輕度中毒組之間的預後並未達統計學上之差異,但各組患者之死亡率的確有隨疾病嚴重度之增加而逐漸增加之趨勢。 因此,在急性膽素脂�t抑制劑中毒,APACHE II計分系統可作為評估患者疾病嚴重度之工具,入院時APACHE II分數高之患者死亡率高,應給予積極之治療。 |
英文摘要 | In order to investigate the value of APACHE II score in assessing disease severity of acute cholinesterase inhibitor poisoning, we performed a prospective study from January 1992 to December 1993. Forty patients with acute cholinesterase inhibitor poisoning were enrolled in the study.TheirAPACHE II score on admission were calculated and the severity of disease was divided into three categories:mild, moderate, and severe intoxication(score values:0-10, 11-20,≧21 respectively).The patients were followed for up to 5 days after discharge and the outcome differences between groups were compared. The APACHE II score values on admission ranged from 0 to 34.There was no correlation between APACHE II score and serum pseudocholinesterase level(r=-0.246, p=0.126).The patients who were graded as severe intoxication had unfavorable outcomes when compared to those who were graded as mild intoxication;i.e. more of them required intubation (p<0.05),needed mechanical ventilation(p<0.01),and moderate intoxication, and those with moderate versus severe intoxication didn't reach statistical significance , a trend for increased mortality with greater disease severity was noted. The APACHE II scoring system may provide useful prognostic information in acute cholinesterase inhibitor poisoning.Patients with high scores on admission had higher mortality rates and should receive intensive care. |
本系統中英文摘要資訊取自各篇刊載內容。