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[曼海姆腹膜炎指数的验证研究]

[Validation study of the Mannheim Peritonitis Index].

作者信息

Függer R, Rogy M, Herbst F, Schemper M, Schulz F

机构信息

I. Chirurgische Universitätsklinik Wien.

出版信息

Chirurg. 1988 Sep;59(9):598-601.

PMID:3229167
Abstract

113 patients suffering from purulent peritonitis entered this retrospective study for evaluation of the prognostic value of the Mannheim Peritonitis-Index. There was no lethality below an index x = 21, between x = 21 and x = 29, it was 29% and lethality increased to 100% in patients with an index x greater than or equal to 30. Statistical validation showed that prognosis was correct in 93% for the index x = 27, with a sensitivity and specificity of also 93%. Between x = 21 and x = 29 prognosis of the MPI was correct in at least 65%. The MPI is shown as a prognostic index for peritonitis with high accuracy in individual prognosis, that could be easy routinely documented.

摘要

113例化脓性腹膜炎患者纳入这项回顾性研究,以评估曼海姆腹膜炎指数的预后价值。指数x = 21以下无死亡病例,x = 21至x = 29之间,死亡率为29%,指数x大于或等于30的患者死亡率升至100%。统计学验证表明,指数x = 27时,预后判断正确率为93%,敏感性和特异性也均为93%。x = 21至x = 29之间,MPI的预后判断正确率至少为65%。MPI作为腹膜炎的预后指数,在个体预后判断中具有很高的准确性,且易于常规记录。

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