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[重症监护病房患者的预后。心肌梗死、肺水肿、复苏及严重感染]

[Prognosis for patients of an intensive care unit. Myocardial infarct, pulmonary edema, reanimation and severe infections].

作者信息

Thimme W, Boytscheff C, Geerken S, Riechert H, Schäfer J H, Tönnesmann U, Tritschler J

出版信息

MMW Munch Med Wochenschr. 1978 Apr 14;120(15):511-6.

PMID:306522
Abstract

The prognosis of patients should influence diagnostic and therapeutic measurements. For this reason the survival time is shown of 516 patients with acute myocardial infarction, 200 patients with pulmonary edema, 553 patients in which resuscitation had become necessary and 201 with life-threatening infections. The survival time is correlated to clinical signs easily obtainable on admission. Small groups can be selected which with a high degree of probability will die during their stay in hospital. Intensive therapy should be withheld from those patients. But prognostic indices without the probability of error cannot yet be constructed.

摘要

患者的预后情况应影响诊断和治疗措施。因此,文中列出了516例急性心肌梗死患者、200例肺水肿患者、553例需要进行复苏的患者以及201例患有危及生命感染患者的生存时间。生存时间与入院时易于获得的临床体征相关。可以挑选出极有可能在住院期间死亡的小群体患者。对于这些患者应停止强化治疗。但目前仍无法构建毫无误差可能性的预后指标。

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