Mintser O P, Vadnev A A, Spasokukotskiĭ A Iu, Zaikovskii Iu Ia
Vestn Khir Im I I Grek. 1978 Mar;120(3):3-8.
The efficacy of a mark-grading system for the prognosis of the occurrence of suppuration in acquired and congenital heart diseases is analyzed in this work. The mathematical relationship between the sum of marks of the risk and the probability of the occurrence of purulent complication is proved. On the grounds of the found phenomenon a group of patients with high risk of purulent complications, needing some supplementary prophylactic procedures, has been selected. A complex of medicamental and organizational measures has been devised, which ensured more than 1.5-fold decrease of the incidence of surgical infection in high risk patients following operations with extracorporeal circulation.
本文分析了评分系统对后天性和先天性心脏病化脓发生预后的疗效。证明了风险评分总和与化脓性并发症发生概率之间的数学关系。基于这一发现的现象,选择了一组有化脓性并发症高风险的患者,他们需要一些补充性的预防措施。已经制定了一套药物和组织措施,确保体外循环手术后高风险患者的手术感染发生率降低了1.5倍以上。