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karen_lee14金蟲 (初入文壇)
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[求助]
急求�。。。【鸵疝q，導師說文獻翻譯不標準，求幫忙�。�！
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目的:探討肺損傷預(yù)測評分（LIPS）在預(yù)測膿毒癥患者合并ARDS中的價值和可行性。 方法:應(yīng)用臨床病例資料統(tǒng)計表，回顧性分析我院急診重癥監(jiān)護室（EICU）自2014年1月至2014年12月收治的55例嚴重膿毒癥患者的主要臨床資料，建立數(shù)據(jù)庫。進行肺損傷預(yù)測評分（LIPS），參考ARDS柏林新診斷標準，將患者分為ARDS組和非ARDS組，比較2組患者的肺損傷預(yù)測評分（LIPS）和序貫器官衰竭估計評分(SOFA)等，評估患者7天生存情況,并進行相關(guān)性分析。評價LIPS、SOFA對預(yù)測膿毒癥患者合并ARDS死亡的風險。并對兩種評分進行相關(guān)性分析。 結(jié)果 :入選的55例嚴重膿毒癥患者中，參考ARDS柏林新診斷標準，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34.88%但LIPS與SOFA評分間的相關(guān)性不強(r為0.342,P＜0.05).LIPS評分對預(yù)測ARDS有意義[曲線下面積(AUC) =0.832,95% CI:0.728 ～0.908,P＜0.001],當LIPS＞7分時,預(yù)測ARDS的敏感度為83.72%,特異性為78.12%.結(jié)論 LIPS對預(yù)測嚴重膿毒癥合并ARDS的準確性較好,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,該評分系統(tǒng)為預(yù)測ARDS提供了可能。 結(jié)論:肺損傷預(yù)測評分（LIPS）在預(yù)測嚴重膿毒癥患者合并ARDS中具有早期預(yù)測作用。 |
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karen_lee14
金蟲 (初入文壇)
- 應(yīng)助: 0 (幼兒園)
- 金幣: 1228.5
- 帖子: 4
- 在線: 5.3小時
- 蟲號: 2800876
- 注冊: 2013-11-14
- 專業(yè): 急重癥醫(yī)學/創(chuàng)傷/燒傷/整形
4樓2015-05-27 13:44:25
燦燦妹
至尊木蟲 (著名寫手)
- 翻譯EPI: 68
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- 帖子: 2121
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- 注冊: 2012-04-27
- 性別: GG
- 專業(yè): 環(huán)境工程
【答案】應(yīng)助回帖
★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★
karen_lee14: 金幣+50, 翻譯EPI+1 2015-05-27 13:43:52
karen_lee14: 金幣+50, 翻譯EPI+1 2015-05-27 13:43:52
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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. |
2樓2015-05-27 12:59:47
燦燦妹
至尊木蟲 (著名寫手)
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- 貴賓: 1.097
- 金幣: 14467.1
- 散金: 3921
- 紅花: 102
- 沙發(fā): 3
- 帖子: 2121
- 在線: 396.8小時
- 蟲號: 1783324
- 注冊: 2012-04-27
- 性別: GG
- 專業(yè): 環(huán)境工程
【答案】應(yīng)助回帖
|
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 |
3樓2015-05-27 13:29:08
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