常用危重癥病情評(píng)分方法

1、常用危重癥病情評(píng)分方法一.創(chuàng)傷嚴(yán)重程度評(píng)分和結(jié)局預(yù)測(cè)軟件創(chuàng)傷嚴(yán)重程度評(píng)分方法1. 簡明損傷程度評(píng)分(Abbreviated Injury Severity, AIS -2005版)評(píng)價(jià)創(chuàng)傷嚴(yán)重程度(解剖學(xué)角度)2. 損傷程度汁分法和新?lián)p傷程度(Injury Severity ScoreNews Injury Severity Score. ISS &NISS) 評(píng)價(jià)損傷程度嚴(yán)垂程度(解剖學(xué)角度)3. 昏迷程度評(píng)價(jià)方法(Glasgow coma scale, GCS) 評(píng)價(jià)中樞神經(jīng)系統(tǒng)損害程度4. 創(chuàng)傷程度評(píng)價(jià)方法(TraumaScore. TS) 評(píng)價(jià)創(chuàng)傷程度嚴(yán)重程度(解剖學(xué).生理學(xué)角度)5

2、修正創(chuàng)傷評(píng)價(jià)方法6.小兒損傷程度評(píng)分(Revised Trauma Score. RTS),評(píng)價(jià)損傷程度嚴(yán)重程度(Paediatric Trauma Score, PTS).評(píng)價(jià)小兒損傷程度(解剖學(xué).生理學(xué)角度) 7.院前創(chuàng)傷指數(shù)(Prehospital Index PHI)8腹部創(chuàng)傷指數(shù)(AbdominalTrauma Index. ATI)，評(píng)價(jià)腹部創(chuàng)傷程度9. 貫穿性腹部創(chuàng)傷扌斤數(shù)(Penetrating Abdominal Trauma Index, PATI)10. 肺爆震傷評(píng)分(Respiratory Severity Score in Acute Blast Injury)截肢扌

3、旨數(shù)(Limb Salvage Index. LSI)12. 下肢開放性骨折汁分(NISSSA score for grading the severity of an open fracture of the lower extrmity)13. 骨盆骨折內(nèi)臟傷汁分(Risk of Visceral Injury with Pelvic Fracture)14臟器損傷計(jì)分(Organ Injury Scaling. OIS)15. 預(yù)測(cè)創(chuàng)傷病人的結(jié)局16. 創(chuàng)傷病人存活概率預(yù)測(cè)方法(Trauma Injury Severity Score, Survival Probability. TRI

4、SS),偵測(cè)創(chuàng)傷病人的結(jié)局(存活概率)-笑國版和中國版17. 創(chuàng)傷嚴(yán)重程度特征評(píng)價(jià)方法(A Severity Characterization of Trauma, Surivival Probability ASCOT). 預(yù)測(cè)創(chuàng)傷病人的結(jié)局(存活概率，Ps) 芙國版和中國版18. 燒傷病人結(jié)局預(yù)測(cè)方法二.綜合性急危重癥評(píng)分軟件適川于徐?？频奈Ｖ夭∪?創(chuàng)傷病人.于術(shù)后病人.如ICU.CCU. SICU等。能夠動(dòng)態(tài)判斷疾病的嚴(yán)重 程度、預(yù)測(cè)并發(fā)癥和死亡的危險(xiǎn)性。1. 急性生理功能和慢性健康狀況評(píng)分系統(tǒng) II、III (acute physiology and chronic health ev

5、aluation IL III, 簡稱 APACHE IL III)2女系統(tǒng)功能不全評(píng)分方法(multiple organ dysfunction syndrome score,簡稱 MODS Score)3死亡率預(yù)測(cè)方法(mortality prediction models,簡稱 MPM)MPMO. MPM24, MPM48和MPM72分別用入ICU時(shí)、24. 48、和72小時(shí)的參數(shù)進(jìn)行預(yù)測(cè),它們的權(quán) 重和系數(shù)是不同的。4簡明急性生理功能評(píng)分方法(simplified acute physiology score II,簡稱 SAPS II)5. 24h-ICU 評(píng)分法(24h-Point

6、 System)6. 營養(yǎng)評(píng)價(jià)三腦功能評(píng)分軟件腦損傷后功能狀況評(píng)分匸具集用于備種類型腦損傷后神經(jīng)功能狀況評(píng)分和結(jié)局預(yù)測(cè)用于腦損傷急性期損傷嚴(yán)重程度1. Glasgow 昏迷描數(shù)(Glasgow Coma Scale,GCS2. Glasgow 腦損傷預(yù)后描數(shù)(經(jīng)典型和細(xì)化型，Glasgow Outcome Scale & Extended Glasgow OutcomeScale tGOS &GOSE)3. 昏迷嚴(yán)重程度評(píng)分(The Coma/Near Coma Scale. CNCS)4. 腦損傷恢復(fù)期過激行為評(píng)分(The Agitated Behavior Scale. ABS)用于腦損傷

7、后殘疾程度評(píng)分5. 殘疾程度評(píng)分(Disability Rating Scale. DRS)6中國版神經(jīng)功能缺失評(píng)分(Chinese Stroke Scale , CSS)7. 美國版神經(jīng)功能缺失評(píng)分(The NIH Stroke Scale , NIHSS)8. 歐洲版神經(jīng)功能缺失評(píng)分( European Stroke Scale. ESS)9. 功能獨(dú)立性評(píng)分(Functional Independence Measure. FIM)10修訂型 Barthel 功能獨(dú)立性評(píng)分(Modified Barthel Index. MBI)用于腦損傷后運(yùn)動(dòng)功能評(píng)分11. Fugle-Meyer 運(yùn)

8、動(dòng)功能評(píng)分(Fugle-Meyer Scale. FMS)12. Brunnstrom 運(yùn)動(dòng)功能評(píng)分(Brunnstrom Scale. BS)用于腦損傷后心理狀況評(píng)分13. 漢密頓焦慮程度評(píng)分(Hamilton Anxiety Scale. HAMA)14. 漢密頓抑郁程度評(píng)分(Hamilton Depression Rating Scale. HAMD)四呼吸功能評(píng)分軟件1. 急性呼吸宕迫癥評(píng)分方法(acute respirative distress syndrome score.簡稱 ARDS Score)2臨床肺部感染評(píng)分(Simplified clinical pulmonary

9、infection score, CPIS)3呼吸機(jī)使用指征(Ventilation Index)4呼吸機(jī)使用臨床扌&征(Clinical Signs Indicating the Need for Mechanical Ventilation in a Patient)通過 呼吸率、節(jié)律、脈軸、肌力和反應(yīng)計(jì)分。5順應(yīng)性率氧合壓力指數(shù)(Compliance, Rate, Oxygenation, Pressure. CROP Index)用于呼吸機(jī)使用過 程的監(jiān)測(cè)和脫機(jī)判斷6呼吸機(jī)使用和脫機(jī)汁分(VentilatorScore) 用于呼吸機(jī)使用過程的監(jiān)測(cè)和脫機(jī)指南 7呼吸機(jī)不良因素評(píng)分(Adv

10、erse Factor Score),用于呼吸機(jī)使用過程的監(jiān)測(cè)和脫機(jī)判斷五心血管功能評(píng)分軟件 用于心臟橋人.判斷心功能狀況、預(yù)測(cè)并發(fā)癥和死亡的危險(xiǎn)性。用于評(píng)價(jià)心功能狀況的工具血流動(dòng)力學(xué)、心臟作功和耗氧等評(píng)估(Hemodynamic Evaluation )2. 氧合評(píng)價(jià)(Oxygenation Evaluation )3. 心功能曲線(Starling Curves):CI-PCWP心功能曲線SI-LVEDP心功能曲線Arterial Elastance (Ea)心功能曲線LVEDP-LVEDV心功能曲線4心哀分期和心功能分級(jí)(The Stages of Heart Failure. ACC/

11、AHA制定)5.休能描數(shù)(The Duke Activity Status Index )用于預(yù)測(cè)心臟并發(fā)癥的丄具6心肌梗塞溶栓風(fēng)險(xiǎn)傾測(cè)(ST抬癰型，TIMI Risk Score for STEMI)7心肌梗塞溶栓風(fēng)險(xiǎn)預(yù)測(cè)(非ST抬島型，TIMI Risk Score for non-STEMI)8經(jīng)皮冠脈成形術(shù)風(fēng)險(xiǎn)預(yù)測(cè)(Risk Score for PTCA)9房顫病人中風(fēng)風(fēng)險(xiǎn)預(yù)測(cè)(Risk of Stroke with AF)預(yù)測(cè)冠心病和其他心血管疾病風(fēng)險(xiǎn)的匚具lO.Pocock 氏 5年心血管風(fēng)險(xiǎn)預(yù)測(cè)(Pococks 5-Yr CVD Risk Prediction)11 歐洲10年心

12、血管風(fēng)險(xiǎn)預(yù)測(cè)(SCORE in Europe)l2.Framingham 氏 10 年心血管風(fēng)險(xiǎn)預(yù)測(cè)(Framinghams Estimation of Risk of CVD)六腎臟功能評(píng)分軟件1 急性腎功能不全診斷系統(tǒng)2 腎衰病人抗菌素劑雖涮整3.血透充分性評(píng)估4 酸堿平衡評(píng)估和糾正5 水電解質(zhì)平衡評(píng)估和糾正七. 消化道功能評(píng)分軟件1 上消化道出血預(yù)測(cè)(Predictive Index for Upper Gl Hemorrhage )2.1:消化道出血危因 il分(Risk Factors of Acute Upper Gastrointestinal Bleeding)3胃腸道出血危因

13、死亡率預(yù)測(cè)(Scoring System for Predicting the Mortality Rate Associated with Severe Gastroduodenal Hemorrhage)Outcome after Acute Hemorrhage from Esophageal Varices4.ICU 病人急性消化道出血危因計(jì)分(Illness Severity Index Score for Risk of Acute Upper GastrointestinalBleeding for Patients in the Intensive Care Unit)5肝碩化

14、 Child-pugh 分級(jí)(The Child-Pugh Score for Grading Hepatic Cirrhosis) 86. IE出血性川唄化預(yù)后指數(shù)(Prognostic Index for Nonbleeding Cirrhosis)7肝炎后肝化預(yù)后計(jì)分(Erasme Prognostic Score for Hepatic Cirrhosis)8肝碩化病人首次胃腸出血或昏迷后預(yù)后il分(Prognostic Index for Patients with Cirrhosis After the FirstEpisode of Gastrointestinal Bleedi

15、ng or Coma)9急性腆腺炎預(yù)后標(biāo)準(zhǔn)(Glasgow Prognostic Criteria in Acute Pancreatitis (Imrie Criteria)10急性胰腺炎 CT 訃分(CT Severity Index (Balthazar Score) in Acute Pancreatitis)11 膽源性和酒精性急性腴腺炎鑒別訃分(Scoring System to Distinguish Biliary from AlcoholicPancreatitis)12急性胰腺炎死亡率預(yù)測(cè)(Prediction of Mortality in Acute Pancreati

16、tis Using Serum Creatinine andChest Radiographs)八. 凝血功能評(píng)分軟件1彌漫性血管內(nèi)凝血評(píng)分方法(disseminated intravascular coagulation score, DIC Score)2川索誘導(dǎo)的血小板減少評(píng)分(A Score for Estimating the Likelihood of Heparin-InducedThrombocytopenia )3抗漩相關(guān)大出血風(fēng)險(xiǎn)預(yù)測(cè)(Risk Score for Anticoagulant-related Major Bleeding in Hospitalized Pa

17、tients)4急性靜脈栓塞治療期出血風(fēng)險(xiǎn)預(yù)測(cè)(Utrecht Bleeding Risk Score During Treatment of Acute VenousThromboembolism)九. 麻醉于術(shù)風(fēng)險(xiǎn)評(píng)分方法：用于于術(shù)橋人.判斷病人對(duì)于術(shù)的耐受性.預(yù)測(cè)并發(fā)癥和死亡的危險(xiǎn)性用于預(yù)測(cè)麻醉于術(shù)風(fēng)險(xiǎn)并發(fā)癥和死亡率1 .Peters 麻醉風(fēng)險(xiǎn)傾測(cè)法(Modification of the Anesthetic Risk Assessment by Peter and Lutz)2麻醉風(fēng)險(xiǎn)預(yù)測(cè)法E-PASS (Estimation of Physiologic Ability and S

18、urgical Stress (E-PASS), withPreoperative Risk Score (PRS), Surgical Stress Score (SSS) and Comprehensive Risk Score (CRS)3.Detsky* IK心臟于術(shù)心臟風(fēng)險(xiǎn)扌斤數(shù)(Detskys Modified Cardiac Risk Index)用于預(yù)測(cè)普外于術(shù)風(fēng)險(xiǎn)并發(fā)癥和死亡率4于術(shù)并發(fā)癥和死亡率評(píng)分系統(tǒng)(Physiological and Operatiive severity Score for the enumeration ofMortality and Morbid

19、ity, POSSUM)用于偵測(cè)各類手術(shù)并發(fā)癥和死亡概率Portsmouth-POSSUM (P-POSSUM).結(jié)直腸-POSSUM(colorectal-POSSUM, Cr-POSSUM).上消化 道-POSSUM (Oesophagogastric-POSSUM, OPOSSUM)、血管-POSSUM(Vascular-POSSUM , V-POSSUM)5肉齡病人于術(shù)死亡率預(yù)測(cè)(Predicting Operative Mortality in Geriatric Patients)6術(shù)后院內(nèi)死亡率預(yù)測(cè)(Risk Indicators of Mortality in Hospital After Anaesthesia and Surgery)7Wellss深靜脈和肺栓塞風(fēng)險(xiǎn)預(yù)測(cè)(Prediction of Risk of DVT and PE)8體能狀況扌盲數(shù)(The Duke Activity Status Index)用于預(yù)測(cè)獲得性心臟于術(shù)風(fēng)險(xiǎn)并發(fā)癥和死亡率9. Parsonnefs 心臟于術(shù)風(fēng)險(xiǎn)預(yù)測(cè) 96 版(Predictive score for acquired adult heart surgery. Parsonnet Score)10. Parsonnefs 心臟手術(shù)風(fēng)