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karen_lee14金蟲 (初入文壇)
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[求助]
急求。。。【鸵疝q,導(dǎo)師說文獻(xiàn)翻譯不標(biāo)準(zhǔn),求幫忙。!
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目的:探討肺損傷預(yù)測(cè)評(píng)分(LIPS)在預(yù)測(cè)膿毒癥患者合并ARDS中的價(jià)值和可行性。 方法:應(yīng)用臨床病例資料統(tǒng)計(jì)表,回顧性分析我院急診重癥監(jiān)護(hù)室(EICU)自2014年1月至2014年12月收治的55例嚴(yán)重膿毒癥患者的主要臨床資料,建立數(shù)據(jù)庫(kù)。進(jìn)行肺損傷預(yù)測(cè)評(píng)分(LIPS),參考ARDS柏林新診斷標(biāo)準(zhǔn),將患者分為ARDS組和非ARDS組,比較2組患者的肺損傷預(yù)測(cè)評(píng)分(LIPS)和序貫器官衰竭估計(jì)評(píng)分(SOFA)等,評(píng)估患者7天生存情況,并進(jìn)行相關(guān)性分析。評(píng)價(jià)LIPS、SOFA對(duì)預(yù)測(cè)膿毒癥患者合并ARDS死亡的風(fēng)險(xiǎn)。并對(duì)兩種評(píng)分進(jìn)行相關(guān)性分析。 結(jié)果 :入選的55例嚴(yán)重膿毒癥患者中,參考ARDS柏林新診斷標(biāo)準(zhǔn),其中25例合并ARDS,30例未合并ARDS。與非ARDS組相比,ARDS組的7天生存情況、LIPS較高,且病死率高達(dá)34.88%但LIPS與SOFA評(píng)分間的相關(guān)性不強(qiáng)(r為0.342,P<0.05).LIPS評(píng)分對(duì)預(yù)測(cè)ARDS有意義[曲線下面積(AUC) =0.832,95% CI:0.728 ~0.908,P<0.001],當(dāng)LIPS>7分時(shí),預(yù)測(cè)ARDS的敏感度為83.72%,特異性為78.12%.結(jié)論 LIPS對(duì)預(yù)測(cè)嚴(yán)重膿毒癥合并ARDS的準(zhǔn)確性較好,較急診常用的SOFA系統(tǒng)具有較好的相關(guān)性,早期即可獲得,臨床操作性較強(qiáng),該評(píng)分系統(tǒng)為預(yù)測(cè)ARDS提供了可能。 結(jié)論:肺損傷預(yù)測(cè)評(píng)分(LIPS)在預(yù)測(cè)嚴(yán)重膿毒癥患者合并ARDS中具有早期預(yù)測(cè)作用。 |
至尊木蟲 (著名寫手)
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Purpose: Discussion on value and feasibility of lung injury prediction score (LIPS)in the prediction of patients with sepsis merged ARDS Methods: For establishing the data base, the main clinical materials of 55 patients with severe sepsis, which were treated in EICU of our hospital from January 2014 to December 2014, were retrospective analyzed due to the application of clinical data statistics. For LIPS, patients were divided into ARDS and non- ARDS 2 groups based on ARDS Berlin new diagnostic criteria, then the LIPS, SOFA and etc of the 2 groups were compared to evaluate 7 days' survival situation of patients to perform correlation analysis. Morever, LIPS and SOFA that used to predict the mortality risk of patients with sepsis merged ARDS were evaluated, and the two score methods also were performed correlation analysis. |

至尊木蟲 (著名寫手)
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Results: Refered to ARDS Berlin new diagnostic criteria, 25 were merged with ARDS while 30 were not merged with ARDS among the 55 selected cases with severe sepsis. Compared with non- ARDS group, 7 days' survival situation and LIPS were higher, the mortality reached 34.88%, but the correlation between LIPS and SOFA was not strong (r=0.342,P<0.05). The LIPS has significant to ARDS prediction ( AUC==0.832,95% CI:0.728 ~0.908,P<0.001), when LIPS was greater than 7, the sensitivity and specificity of ARDS prediction were 83.72% and 78.12% , respectively. Conclusion: it was showed that LIPS, which could be obtianed at early stage and with strong clinic operating, has better veracity to predict patients with severe sepsis merged ARDS and aslo has good correlation than SOFA system that frequently used in emergency, and indicated that LIPS scoring system has provided a possible to ARDS prediction. Conclusion LIPS has the early prediction effect in the prediction of patients with severe sepsis merged ARDS |

金蟲 (初入文壇)
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