[用于紧急情况决策的专家系统设计]

[Design of an expert system for decision-making in an emergency situation].

作者信息

Baños G, Arcay B, Carceller J, Carregal A, Cid M, Freire J, Vázquez M L

机构信息

Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Xeral de Galicia-Hospital Gil Casares, Santiago de Compostela.

出版信息

Rev Esp Anestesiol Reanim. 1992 Nov-Dec;39(6):349-54.

PMID:1293652

Abstract

OBJECTIVES

To study the clinical applicability of the expert system URGSANT as a help in making up decisions in emergencies.

MATERIAL AND METHODS

URGSANT is an expert system implemented in INSIGT 2+ which is structured in a modular and hierarchical form. It contemplates 44 urgent situations relating to the central nervous system, hematopoietic, cardiovascular, respiratory, gastrointestinal, genitourinary, endocrinological, and miscellaneous group. Validation of the program was made by four anesthesiologists who evaluated the performance of the program in 25 emergency cases and in 25 other situations that were treated by other specialists.

RESULTS

The rationale of the system was basically correct. In most cases the program was considered efficient or very efficient during the different clinical situations and only in one case its guidance was wrong.

CONCLUSIONS

The URGSANT expert system is an efficient and useful method for the clinician during emergency situations.

摘要

目的

研究URGSANT专家系统在紧急情况下辅助决策的临床适用性。

材料与方法

URGSANT是一个用INSIGT 2+实现的专家系统，采用模块化和层次化结构。它考虑了与中枢神经系统、造血系统、心血管系统、呼吸系统、胃肠道、泌尿生殖系统、内分泌系统及其他类相关的44种紧急情况。该程序由四名麻醉医生进行验证，他们评估了该程序在25例紧急病例以及其他专科医生治疗的25种其他情况中的表现。