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[妇产科术后强化治疗:腹部手术患者医疗外科评估评分系统提案]

[Intensive postoperative treatment in obstetrics and gynecology: proposal for a score system for medico-surgical assessment of the abdominal surgery patient].

作者信息

Margaria E, Notario P L, Marioni A

出版信息

Minerva Anestesiol. 1980 May;46(5):607-15.

PMID:7219747
Abstract

It is often necessary in routine clinical practice to take a decision on therapeutic conduct regarding patients with abdominal type postoperative complications. A score system has been devised which increases with the gravity of objective findings and the laboratory data most frequently observed in this pathology. The theoretical score is applied a posteriori to 12 serious cases of abdominal surgery. The values suggest an appropriate therapeutic approach: in effect, a score of less than 50 would point to wait-and-see medical treatment, not to be prolonged beyond 72 hours; values higher than 50 point to medical treatment preparatory to indispensable surgery.

摘要

在日常临床实践中,针对腹部类型术后并发症患者的治疗行为做出决策往往是必要的。已经设计了一种评分系统,该系统会随着客观检查结果的严重程度以及该病理状况中最常观察到的实验室数据而增加。该理论评分事后应用于12例腹部手术重症病例。这些数值提示了一种合适的治疗方法:实际上,评分低于50分表明可采取观察等待的医疗措施,但不应超过72小时;高于50分则表明需采取为必不可少的手术做准备的医疗措施。

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