重症医学科APACHE-II评分表

<p>重症医学科APACHE-II评分表 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;姓名： &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 性别： &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 床位： &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 住院号： &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 记录日期： &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;总得分： &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 年龄评分APS参数分 &nbsp; &nbsp; &nbsp; 值得 &nbsp;分43210年龄（岁）7565745564455444急性生理学评分（APS）参数分 &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 值得 分43210直肠温度（）413940.938.538.9&gt;35.929.93031.93233.93435.9平均动脉压（mmHg）16013015911012970109495069心率（次/分）180140179110139701093940545569呼吸频率（次/分）503549253412245691011氧合作用当FiO2&lt;0.5时用PaO2；FiO20.5时用肺泡-动脉氧分压差【（A-a）DO2】PaO2（mmHg）&lt;55 60=&quot;&quot; 70=&quot;&quot;&gt;70DaO2（mmHg）&gt;500400500200400&lt;200血液酸碱度血液酸碱度以动脉血PH值为好，无血气分析则用静脉血HCO3代替动脉血PH7.77.67.697.57.597.337.497.147.157.247.257.32或HCO3（mmol/l）524151.93240.92231.9&lt;151517.91821.9血Na+（mmol/l）180160179155159150154130149110111119120129血K+（mmol/l）7.066.95.55.93.55.4&lt;2.52.52.933.4Cr（急性肾衰时加倍）（mol/l）3091763081241755312353红细胞压积（）605059.94649.93045.9&lt;202029.9白细胞计数（109）402039.91519.9314.9&lt;1.01.02.9Glasgow昏迷评分等于15减去实际GCS分值慢性健康状况评分（CPS）评分法：凡下列器官或系统功能严重障碍或衰竭的慢性病，如行急诊手术或未手术者加5分，择期手术者加2分得分心血管系统休息或轻微活动时出现心绞痛或心功能不全的表现，如：心悸、气急、水肿、肝大、肺部啰音等或符合美国纽约心脏协会制定的心功能4级标准。呼吸系统慢性限制行、阻塞性或血管性肺部疾病所致病人活动严重受限，不能上楼或作家务或有慢性缺氧、高碳酸血症、继发性红细胞增多症、严重肺动脉高压（mmHg）或需呼吸机支持。肝脏经活检确诊肝硬化伴门脉高压，以往有门脉高压致上消化道出血、肝功能衰竭、肝性脑病或肝昏迷史。肾脏接受长期透析治疗。免疫功能障碍接受免疫抑制剂、化疗、放疗、长期激素治疗，或近期使用大量激素，或患白血病、淋巴瘤或AIDS等抗感染能力低下者。</p><!-55->