通过简单的临床和生化测量识别重症肺炎
一个Kamath,MC巴斯德,MG斯莱德和BDW哈里森
DOI: https://doi.org/10.7861/clinmedicine.3-1-54
中国医疗
2003年1月
摘要
在英国,社区获得性肺炎(CAP)是急性入院的最常见原因,也是第四大常见死因。重要的是识别重症肺炎患者和最坏的预后。我们进行这项研究是为了验证在新西兰设计的一项规则。CAP的定义是根据新的胸片阴影和肺炎的临床特征。完成了一份记录临床特征和调查结果的标准化表格。以下两种或两种以上症状可确诊为重症肺炎:神志不清;呼吸率≥30 /分钟;舒张压≤60mmhg;尿素> 7更易/ l。纳入患者100例,平均年龄58.8岁; 32 satisfied the rule. Seven died, all of whom satisfied the rule. Ten patients received intensive care including six who died. Of 11 patients who died and/or received intensive care, nine satisfied the rule. The sensitivity and specificity of the rule for predicting death and/or intensive care were 82% and 73% respectively.
- 英国皇家医学院