论文部分内容阅读
目的探讨慢性阻塞性肺疾病(COPD)急性发作期临床特征与危重病患者急性生理学及慢性健康状况评分I(IAPACHEII评分)的关系。方法检查COPD急性加重期及稳定期患者的体温、心率、血压、呼吸频率、血细胞分析、血气分析,记录APACHEII评分。结果①急性加重期慢性阻塞性肺疾病患者动脉血二氧化碳分压(PaCO2)、血清肌酐(Cr)明显高于稳定期,血清白蛋白(ALB)、pH值、动脉血氧分压(PaO2)、动脉血氧饱和度(SaO2)明显低于稳定期。②APACHEII评分与PaCO2和Cr呈正相关,与PaO2、SaO2、ALB呈负相关。结论APACHEII评分对COPD急性加重期患者的病情程度和预后具有重要的临床意义。
Objective To investigate the relationship between clinical features of acute exacerbation of chronic obstructive pulmonary disease (COPD) and acute physiology and chronic health status I (IAPACHEII score) in critically ill patients. Methods The body temperature, heart rate, blood pressure, respiration rate, blood cell analysis, blood gas analysis and APACHEII score were recorded in patients with acute exacerbation and stable COPD. Results ① In patients with acute exacerbation of COPD, PaCO2 and Cr were significantly higher than those in stable phase, serum albumin (ALB), pH, PaO2, Arterial oxygen saturation (SaO2) was significantly lower than the stable phase. ②APACHEII score was positively correlated with PaCO2 and Cr, negatively correlated with PaO2, SaO2 and ALB. Conclusion The APACHEII score has important clinical significance for the severity and prognosis of patients with acute exacerbation of COPD.