肺炎严重度指数PSI.docx

呼吸科肺炎PSI评分表患者： 性别：女 年龄： 岁 床号： 床 住院号：2013-04-21Step 1: Stratify to Risk Class I vs. Risk Classes II-VPresence of:Over 50 years of ageNo继续下一项Altered mental statusNo继续下一项Pulse ^125/minuteNo继续下一项Respiratory rate >30/minuteNo继续下一项Systolic blood pressure <90 mm HgNo继续下一项Temperature <35° C or N40° CNo 继续 history ofHistory of:Neoplastic diseaseNo继续下一项Congestive heart failureNo继续下一项Cerebrovascular diseaseNo继续下一项Renal diseaseNo继续下一项Liver diseaseNo (risk class 1)Step 2: Stratify to Risk Class II vs III vs IV vs VDemographicsPoints assignedActual pointsIf Male (age)AgeIf Female (age-10)Age-10Nursing home resident+10ComorbidityNeoplastic disease+30Liver disease+20Congestive heart failure+10Cerebrovascular disease+10Renal disease+10Physical Exam FindingsAltered mental status+20Pulse N125/minute+20Respiratory rate >30/minute+20Systolic blood pressure <90 mm Hg+ 15Temperature <35° C or N40° C+ 10Lab and Radiographic FindingsArterial pH <7.35+30Blood urea nitrogen N9 mmol/L+20Sodium <130 mmol/L+20Glucose N14 mmol/L+ 10Hematocrit <30%+ 10Partial pressure of arterial 02 <60mmHg+ 10Pleural effusion+ 10合计PSI analysisScoringMortalityRiskInterperationClass 1Points: 00.1%low riskOutpatient managementClass 2Points <700.6%low riskClass 3Points 71-902.8%low riskConsider short observation hospital stayClass 4Points 91-1308.2%moderate riskClass 5Points >13029.2%high riskInpatient management。