{"id":42486,"date":"2024-10-19T05:10:23","date_gmt":"2024-10-19T05:10:23","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=42486"},"modified":"2024-10-19T05:10:23","modified_gmt":"2024-10-19T05:10:23","slug":"%e3%80%90%e6%8c%87%e5%8d%97%e8%a7%a3%e8%af%bb%e3%80%91%e3%80%8a2024%e5%b9%b4%e5%9b%bd%e9%99%85%e5%85%b1%e8%af%86%e6%a0%87%e5%87%86%ef%bc%9a%e5%84%bf%e7%ab%a5%e8%84%93%e6%af%92%e7%97%87%e5%92%8c","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=42486","title":{"rendered":"\u3010\u6307\u5357\u89e3\u8bfb\u3011\u300a2024\u5e74\u56fd\u9645\u5171\u8bc6\u6807\u51c6\uff1a\u513f\u7ae5\u8113\u6bd2\u75c7\u548c\u8113\u6bd2\u6027\u4f11\u514b\u300b\u89e3\u8bfb"},"content":{"rendered":"

\u5f15\u7528\u672c\u6587<\/p>\n

\u5e94\u4f73\u4e91,\u5218\u5a77\u5f66,\u5468\u6587\u5f6c,\u7b49. \u300a2024\u5e74\u56fd\u9645\u5171\u8bc6\u6807\u51c6\uff1a\u513f\u7ae5\u8113\u6bd2\u75c7\u548c\u8113\u6bd2\u6027\u4f11\u514b\u300b\u89e3\u8bfb[J]. \u4e2d\u56fd\u5c0f\u513f\u6025\u6551\u533b\u5b66,31: \u7f51\u7edc\u9884\u53d1\u8868.DOI:10.3760\/cma.j.issn.1673-4912.2024.05.001<\/p>\n

\u4f5c\u8005\u5355\u4f4d\uff1a<\/p>\n

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\u901a\u4fe1\u4f5c\u8005\uff1a\u9646\u56fd\u5e73<\/p>\n

Email\uff1a13788904150@163.com<\/p>\n

\u6458\u8981  <\/p>\n

2024\u5e74\u65b0\u5e74\u4f0a\u59cb\uff0c\u300a2024\u5e74\u56fd\u9645\u5171\u8bc6\u6807\u51c6\uff1a\u513f\u7ae5\u8113\u6bd2\u75c7\u548c\u8113\u6bd2\u6027\u4f11\u514b\u300b\uff08\u7b80\u79f0’2024\u5e74\u513f\u7ae5\u5171\u8bc6’\uff09\u53d1\u5e03\u3002\u672c\u6587\u5bf92024\u5e74\u7248\u513f\u7ae5\u5171\u8bc6\u63d0\u51fa\u7684\u8113\u6bd2\u75c7\u53ca\u8113\u6bd2\u6027\u4f11\u514b\u6807\u51c6\u8fdb\u884c\u89e3\u8bfb\uff0c\u5e76\u6bd4\u8f832005\u7248\u513f\u7ae5\u5171\u8bc6\u53ca2016\u7248\u6210\u4eba\u6307\u5357\u7684\u8bca\u65ad\u6807\u51c6\u30022024\u5e74\u513f\u7ae5\u5171\u8bc6\u66f4\u65b0\u5e76\u8bc4\u4f30\u4e86\u513f\u7ae5\u8113\u6bd2\u75c7\u548c\u8113\u6bd2\u6027\u4f11\u514b\u7684\u6807\u51c6\uff0c\u91c7\u7528\u65b0\u578b\u83f2\u5c3c\u514b\u65af\u8113\u6bd2\u75c7\u8bc4\u5206\uff08Phoenix Sepsis Score, PSS\uff09\uff08\u5305\u62ec\u547c\u5438\u3001\u5fc3\u8840\u7ba1\u3001\u51dd\u8840\u548c\u795e\u7ecf\u7cfb\u7edf\u7684\u529f\u80fd\u969c\u788d\uff09\u81f3\u5c112\u5206\uff0c\u53ef\u4ee5\u786e\u5b9a\u7591\u4f3c\u611f\u67d3\u7684\u513f\u7ae5[<18\u5c81\uff08\u6392\u9664\u56f4\u751f\u671f\u4f4f\u9662\u7684\u65b0\u751f\u513f\u53ca\u65e9\u4ea7\u513f\uff08<37\u5468\uff09]\u662f\u5426\u5b58\u5728\u8113\u6bd2\u75c7\uff1b\u8113\u6bd2\u6027\u4f11\u514b\u5b9a\u4e49\u4e3aPSS\u5fc3\u8840\u7ba1\u8bc4\u5206\u81f3\u5c111\u5206\u7684\u8113\u6bd2\u75c7\u3002\u8be5\u6807\u51c6\u4e0d\u518d\u4f7f\u7528\u5168\u8eab\u708e\u75c7\u53cd\u5e94\u7efc\u5408\u5f81\uff0c\u4e5f\u53d6\u6d88\u4e86\u4e25\u91cd\u8113\u6bd2\u75c7\u8bca\u65ad\uff0c\u5e76\u63d0\u51fa\u51fa\u73b0\u8fdc\u9694\u611f\u67d3\u90e8\u4f4d\u5668\u5b98\u529f\u80fd\u969c\u788d\u7684\u513f\u7ae5\u8113\u6bd2\u75c7\u60a3\u8005\u5b58\u5728\u66f4\u9ad8\u7684\u6b7b\u4ea1\u98ce\u9669\u30022024\u5e74\u513f\u7ae5\u5171\u8bc6\u65b0\u6807\u51c6\u5f3a\u8c03\u4e86\u8113\u6bd2\u75c7\u76f8\u5173\u7684\u5668\u5b98\u635f\u4f24\uff0c\u53ef\u4fc3\u8fdb\u5168\u7403\u75be\u75c5\u6d41\u884c\u75c5\u5b66\u6570\u636e\u7684\u7edf\u4e00\u6536\u96c6\uff0c\u4e3a\u6301\u7eed\u7ba1\u7406\u63d0\u4f9b\u4e86\u57fa\u7840\uff0c\u4ece\u800c\u6539\u5584\u60a3\u513f\u7ed3\u5c40\uff0c\u5e76\u4e3a\u672a\u6765\u7684\u7814\u7a76\u63d0\u4f9b\u4fe1\u606f\u3002<\/p>\n

2017\u5e74\uff0c\u5168\u7403\u7ea6\u67092 500\u4e07\u513f\u7ae5\u7f79\u60a3\u8113\u6bd2\u75c7\uff0c\u5bfc\u81f4\u8d85\u8fc7300\u4e07\u4eba\u6b7b\u4ea1\u3002\u8bb8\u591a\u513f\u7ae5\u8113\u6bd2\u75c7\u7684\u5e78\u5b58\u8005\u4f34\u6709\u6301\u7eed\u7684\u8eaf\u4f53\u3001\u8ba4\u77e5\u3001\u60c5\u611f\u548c\u5fc3\u7406\u65b9\u9762\u7684\u540e\u9057\u75c7\uff0c\u8fd9\u53ef\u80fd\u5bf9\u4ed6\u4eec\u53ca\u5176\u5bb6\u5ead\u4ea7\u751f\u957f\u671f\u5f71\u54cd\u3002\u513f\u7ae5\u53d1\u5c55\u4e3a\u8113\u6bd2\u75c7\u7684\u98ce\u9669\u8d85\u8fc7\u5176\u4ed6\u4efb\u4f55\u5e74\u9f84\u7fa4\u4f53\uff0c\u5c24\u5176\u662f\u5728\u8d44\u6e90\u6709\u9650\u5730\u533a\u5f71\u54cd\u6700\u4e3a\u4e25\u91cd\u30022016\u81f32020\u5e74\u5728\u975e\u6d32\u548c\u4e9a\u6d32\uff0c5\u5c81\u4ee5\u4e0b\u513f\u7ae5\u7684\u4e3b\u8981\u76f4\u63a5\u6b7b\u4ea1\u539f\u56e0\u4e3a\u8113\u6bd2\u75c7\uff0836. 7%\uff09 [ <\/sup>1 ]<\/sup>\u3002\u4e16\u754c\u536b\u751f\u7ec4\u7ec7\u6709\u5173\u8113\u6bd2\u75c7\u7684\u51b3\u8bae\u547c\u5401\u4fc3\u8fdb\u8113\u6bd2\u75c7\u7684\u8bca\u65ad\u3001\u9884\u9632\u548c\u6cbb\u7597\uff0c\u4f46\u9700\u8981\u51c6\u786e\u8bc6\u522b\u8113\u6bd2\u75c7\u9ad8\u98ce\u9669\u513f\u7ae5\uff0c\u7136\u800c\uff0c\u76ee\u524d\u7f3a\u4e4f\u76f8\u5e94\u6807\u51c6\u3002<\/p>\n

2005\u5e74\u56fd\u9645\u513f\u79d1\u8113\u6bd2\u75c7\u5171\u8bc6\u4f1a\u8bae\uff08International Pediatric Sepsis Consensus Conference\uff0cIPSCC\uff09\u6839\u636e2001\u5e74\u6210\u4eba\u8113\u6bd2\u75c7\u6307\u5357\u63d0\u51fa\u4e86\u513f\u7ae5\u8113\u6bd2\u75c7\u6807\u51c6\uff08\u7b80\u79f0’2005\u5e74\u513f\u7ae5\u5171\u8bc6’\uff09\uff0c\u76ee\u524d\u5e7f\u6cdb\u5e94\u7528\u4e8e\u4e34\u5e8a\u5b9e\u8df5\u3001\u7814\u7a76\u53ca\u8d28\u91cf\u6539\u8fdb\u548c\u653f\u7b56\u5de5\u4f5c\u4e2d [ <\/sup>2 ]<\/sup>\u3002\u8be5\u6807\u51c6\u867d\u6839\u636e\u5e74\u9f84\u3001\u53d1\u80b2\u7b49\u56e0\u7d20\u5bf9\u76f8\u5173\u6307\u6807\u8fdb\u884c\u4e86\u4fee\u6539\uff0c\u4f46\u4ecd\u4ee5\u611f\u67d3\u76f8\u5173\u7684\u5168\u8eab\u708e\u75c7\u53cd\u5e94\u7efc\u5408\u5f81\uff08systemic inflammatory response syndrome\uff0cSIRS\uff09\u4f5c\u4e3a\u513f\u7ae5\u8113\u6bd2\u75c7\u6807\u51c6\u3002\u7136\u800c\u7814\u7a76\u8868\u660e\uff0cSIRS\u76f8\u5bf9\u513f\u7ae5\u5e8f\u8d2f\u5668\u5b98\u529f\u80fd\u8870\u7aed\u8bc4\u5206\uff08pediatric sequential organ failure assessment\uff0cpSOFA\uff09\u548c\u513f\u7ae5\u5668\u5b98\u529f\u80fd\u969c\u788d\u8bc4\u52062 \uff08pediatric logistic organ dysfunction-2\uff0cPELOD-2\uff09\u8bc6\u522b\u5177\u6709\u9ad8\u6b7b\u4ea1\u98ce\u9669\u7684\u611f\u67d3\u60a3\u513f\u7279\u5f02\u6027\u8f83\u4f4e [ <\/sup>3 ]<\/sup>\u30022016\u5e74\u6210\u4eba\u8113\u6bd2\u75c7\u6307\u5357\uff08\u7b80\u79f0’2016\u5e74\u6210\u4eba\u6307\u5357’\uff09\u5c06\u8113\u6bd2\u75c7\u5b9a\u4e49\u4e3a\u673a\u4f53\u5bf9\u611f\u67d3\u53cd\u5e94\u5931\u8c03\u5bfc\u81f4\u7684\u5371\u53ca\u751f\u547d\u7684\u5668\u5b98\u529f\u80fd\u969c\u788d\uff0c\u5c06\u8113\u6bd2\u75c7\u548c\u5355\u7eaf\u611f\u67d3\u533a\u5206\u5f00\uff0c\u5e76\u4e14\u5728\u7591\u4f3c\u611f\u67d3\u60a3\u8005\u4e2d\uff0c\u91c7\u7528\u5e8f\u8d2f\u5668\u5b98\u529f\u80fd\u8870\u7aed\u8bc4\u5206\uff08sequential organ failure assessment\uff0cSOFA\uff09\u589e\u52a0\u81f3\u5c112\u5206\u6765\u786e\u5b9a\u8113\u6bd2\u75c7 [ <\/sup>4 ]<\/sup>\u3002\u4f46\u6b64\u6307\u5357\u5e76\u4e0d\u6d89\u53ca\u513f\u7ae5\uff0c\u513f\u7ae5\u7531\u4e8e\u751f\u547d\u4f53\u5f81\u7684\u5e74\u9f84\u7279\u5f02\u6027\u3001\u53d1\u80b2\u76f8\u5173\u7684\u514d\u75ab\u529f\u80fd\u4ee5\u53ca\u513f\u79d1\u7279\u5b9a\u7684\u5408\u5e76\u75c7\u3001\u6d41\u884c\u75c5\u5b66\u548c\u9884\u540e\u5dee\u5f02\uff0c\u4e0e\u6210\u4eba\u6709\u91cd\u8981\u7684\u4e0d\u540c\u4e4b\u5904\uff0c\u4e14\u513f\u7ae5\u7684\u5668\u5b98\u529f\u80fd\u969c\u788d\u8bc4\u5206\u7684\u654f\u611f\u6027\u548c\u9633\u6027\u9884\u6d4b\u503c\u5c1a\u4e0d\u6e05\u695a\u3002\u56e0\u6b64\uff0c\u513f\u7ae5\u8113\u6bd2\u75c7\u6807\u51c6\u5e94\u4e13\u95e8\u9488\u5bf9\u8be5\u7279\u5b9a\u4eba\u7fa4\u8fdb\u884c\u63a8\u5bfc\u548c\u9a8c\u8bc1\uff0c\u4ee5\u63d0\u9ad8\u8bca\u65ad\u7684\u51c6\u786e\u6027\u3002<\/p>\n

1\u30002024\u513f\u7ae5\u8113\u6bd2\u75c7\u5b9a\u4e49\u5171\u8bc6\u7684\u4ea7\u751f<\/p>\n

2019\u5e74\u7f8e\u56fd\u91cd\u75c7\u533b\u5b66\u4f1a\u7ec4\u5efa\u4e86\u4e00\u4e2a\u6765\u81ea6\u5927\u6d32\u768435\u540d\u4e13\u5bb6\u7ec4\u6210\u7684\u5de5\u4f5c\u7ec4\u3002\u8be5\u5de5\u4f5c\u7ec4\u57fa\u4e8e\u4ee5\u4e0b3\u79cd\u65b9\u6cd5\u5236\u5b9a\u6807\u51c6\uff1a\uff081\uff09\u901a\u8fc7\u5bf92 835\u540d\u4e34\u5e8a\u533b\u751f\u8fdb\u884c\u5168\u7403\u8c03\u67e5\uff0c\u8113\u6bd2\u75c7\u5b9a\u4e49\u4e3a\u7531\u611f\u67d3\u5bfc\u81f4\u7684\u5371\u53ca\u751f\u547d\u7684\u5668\u5b98\u529f\u80fd\u969c\u788d\uff0c\u8113\u6bd2\u6027\u4f11\u514b\u5b9a\u4e49\u4e3a\u8113\u6bd2\u75c7\u5bfc\u81f4\u5fc3\u8840\u7ba1\u529f\u80fd\u969c\u788d\u88ab\u5e7f\u6cdb\u8ba4\u53ef\uff1b\uff082\uff09\u7cfb\u7edf\u7efc\u8ff0\u548c\u835f\u8403\u5206\u6790\u8bc1\u5b9e\u4e86\u5668\u5b98\u529f\u80fd\u969c\u788d\u8bc4\u5206\u4e0e\u8113\u6bd2\u75c7\u53d1\u5c55\u6216\u4e0d\u826f\u7ed3\u5c40\u98ce\u9669\u589e\u52a0\u7684\u5173\u8054\u6027\uff0c\u56e0\u6b64\u9700\u8981\u7528\u5668\u5b98\u529f\u80fd\u8bc4\u4ef7\u6765\u5236\u5b9a\u513f\u7ae5\u8113\u6bd2\u75c7\u548c\u8113\u6bd2\u6027\u4f11\u514b\u7684\u6807\u51c6 [ <\/sup>5 ]<\/sup>\uff1b(3\uff09\u901a\u8fc7\u5728\u4e0d\u540c\u8d44\u6e90\u5730\u533a\u5efa\u7acb\u56fd\u9645\u591a\u4e2d\u5fc3\u56de\u987e\u6027\u961f\u5217\uff0c\u5c06\u5176\u5206\u4e3a\u63a8\u5bfc\u6570\u96c6\u548c\u9a8c\u8bc1\u6570\u96c6\uff0c\u4ee58\u79cd\u73b0\u6709\u513f\u79d1\u5668\u5b98\u529f\u80fd\u969c\u788d\u8bc4\u5206\u7684\u5668\u5b98\u7279\u5f02\u6027\u4e9a\u5206\u6570\u9884\u6d4b\u53ef\u7591\u611f\u67d3\u513f\u7ae5\u9884\u540e\uff0c\u5e76\u5efa\u7acb\u56de\u5f52\u6a21\u578b\u3002\u6700\u7ec8\u6a21\u578b\u5305\u542b\u4e86\u5fc3\u8840\u7ba1\u3001\u547c\u5438\u3001\u795e\u7ecf\u548c\u51dd\u8840\u56db\u4e2a\u7cfb\u7edf\u7684\u529f\u80fd\u969c\u788d\u6c34\u5e73\uff0c\u5e76\u5c06\u5176\u8f6c\u5316\u4e3a\u57fa\u4e8e\u6574\u6570\u7684\u8bc4\u5206\uff0c\u5373\u83f2\u5c3c\u514b\u65af\u8113\u6bd2\u75c7\u8bc4\u5206\uff08Phoenix Sepsis Score\uff0cPSS\uff09\uff08 \u88681 \uff09\u3002\u6700\u540e\u5de5\u4f5c\u7ec4\u6839\u636e\u6539\u826f\u5fb7\u5c14\u83f2\u6cd5\uff0c\u4ee580%\u4ee5\u4e0a\u7684\u5de5\u4f5c\u7ec4\u6210\u5458\u8fbe\u621080%\u4ee5\u4e0a\u7684\u4e00\u81f4\u610f\u89c1\u5f62\u6210\u5171\u8bc6\uff08\u7b80\u79f0’2024\u5e74\u513f\u7ae5\u5171\u8bc6’\uff09 [ <\/sup>6 ]<\/sup>\u3002<\/p>\n<\/p>\n

2\u30002024\u5e74\u513f\u7ae5\u5171\u8bc6\u4e2d\u8113\u6bd2\u75c7\u65b0\u6807\u51c6\u548c\u65e2\u5f80\u6807\u51c6\u7684\u5f02\u540c\uff08 \u88682 \uff09<\/p>\n

2.1\u3000\u513f\u79d1\u8113\u6bd2\u75c7\u6807\u51c6\u9002\u7528\u4e8e18\u5c81\u4ee5\u4e0b\u7684\u513f\u7ae5\uff0c\u4f46\u4e0d\u9002\u7528\u4e8e\u56f4\u751f\u671f\u4f4f\u9662\u7684\u65b0\u751f\u513f\u53ca\u65e9\u4ea7\u513f\uff08\u80ce\u9f84< 37\u5468\uff09\u30022024\u5e74\u513f\u7ae5\u5171\u8bc6\u4e0e2005\u5e74\u513f\u7ae5\u5171\u8bc6\u5747\u63d0\u51fa\u513f\u7ae5\u8113\u6bd2\u75c7\u6807\u51c6\u9002\u7528\u4e8e18\u5c81\u4ee5\u4e0b\u7684\u513f\u7ae5\uff0c\u4f462024\u5e74\u513f\u7ae5\u5171\u8bc6\u5219\u57282005\u5e74\u6392\u9664\u65e9\u4ea7\u513f\u7684\u57fa\u7840\u4e0a\uff0c\u8fdb\u4e00\u6b65\u63d0\u51fa\u6392\u9664\u56f4\u751f\u671f\u4f4f\u9662\u7684\u65b0\u751f\u513f\u3002\u6392\u9664\u65e9\u4ea7\u513f\u4e3b\u8981\u662f\u7531\u4e8e\u65e9\u4ea7\u513f\u7684\u5668\u5b98\u529f\u80fd\u969c\u788d\u8bc4\u4f30\u4e0e\u513f\u7ae5\u4e0d\u540c\uff0c\u800c\u6392\u9664\u56f4\u751f\u671f\u4f4f\u9662\u7684\u65b0\u751f\u513f\u5219\u7531\u4e8e\u56f4\u751f\u671f\u611f\u67d3\u7684\u7279\u6b8a\u6027\uff0c\u6d89\u53ca\u65b0\u751f\u513f\u514d\u75ab\u529f\u80fd\u6539\u53d8\u53ca\u6f5c\u5728\u7684\u5bab\u5185\u611f\u67d3\u98ce\u9669\u3002<\/p>\n

2.2\u3000\u4ee5SIRS\u4e3a\u57fa\u7840\u7684\u6807\u51c6\u4e0d\u9002\u7528\u4e8e\u513f\u7ae5\u8113\u6bd2\u75c7\u7684\u8bca\u65ad\u30022005\u5e74\u513f\u7ae5\u5171\u8bc6\u6cbf\u7528\u6210\u4eba\u8113\u6bd2\u75c7\u6807\u51c6\uff0c\u4ee5\u611f\u67d3\u76f8\u5173\u7684SIRS\u4e3a\u8bca\u65ad\u6807\u51c6\uff0c\u4f46\u7531\u4e8eSIRS\u7279\u5f02\u6027\u8f83\u4f4e\uff0c2016\u5e74\u6210\u4eba\u6307\u5357\u5c06SIRS\u5e9f\u9664\uff0c\u5b9a\u4e49\u8113\u6bd2\u75c7\u4e3a\u611f\u67d3\u5bfc\u81f4\u7684\u5371\u53ca\u751f\u547d\u7684\u5668\u5b98\u529f\u80fd\u969c\u788d\uff0c\u5e76\u5f15\u5165SOFA\u8bc4\u5206\u4f5c\u4e3a\u8113\u6bd2\u75c7\u8bca\u65ad\u6807\u51c6\u4e4b\u4e00\u30022024\u5e74\u513f\u7ae5\u5171\u8bc6\u5219\u53c2\u80032016\u5e74\u6210\u4eba\u6307\u5357\u5bf9\u8113\u6bd2\u75c7\u7684\u5b9a\u4e49\uff0c\u540c\u6837\u4e0d\u518d\u4f7f\u7528SIRS\uff0c\u800c\u4f7f\u7528\u63a8\u5bfc\u53ca\u9a8c\u8bc1\u540e\u7684PSS\u4f5c\u4e3a\u513f\u7ae5\u8113\u6bd2\u75c7\u8bca\u65ad\u6807\u51c6\u3002<\/p>\n

2.3\u3000\u4ee5\u524d\u7684\u672f\u8bed’\u4e25\u91cd\u8113\u6bd2\u75c7’\u4e0d\u518d\u4f7f\u7528\uff0c\u56e0\u4e3a\u8113\u6bd2\u75c7\u662f\u4e0e\u611f\u67d3\u76f8\u5173\u7684\u5371\u53ca\u751f\u547d\u7684\u5668\u5b98\u529f\u80fd\u969c\u788d\uff0c\u5df2\u8868\u660e\u75be\u75c5\u7684\u4e25\u91cd\u7a0b\u5ea6\u30022005\u5e74\u513f\u7ae5\u5171\u8bc6\u5c06\u8113\u6bd2\u75c7\u5408\u5e76\u5fc3\u8840\u7ba1\u529f\u80fd\u969c\u788d\u3001\u6025\u6027\u547c\u5438\u7a98\u8feb\u7efc\u5408\u5f81\u6216\u5408\u5e76\u4e24\u4e2a\u53ca\u4ee5\u4e0a\u5668\u5b98\u529f\u80fd\u969c\u788d\u5b9a\u4e49\u4e3a\u4e25\u91cd\u8113\u6bd2\u75c7\u3002\u800c2016\u5e74\u6210\u4eba\u6307\u5357\u63d0\u51fa\u8113\u6bd2\u75c7\u5373\u4e3a\u611f\u67d3\u8bf1\u5bfc\u7684\u5668\u5b98\u529f\u80fd\u969c\u788d\uff0c\u8986\u76d6\u4e86\u539f\u5148’\u4e25\u91cd\u8113\u6bd2\u75c7’\u6807\u51c6\uff0c\u4e0d\u518d\u4f7f\u7528’\u4e25\u91cd\u8113\u6bd2\u75c7’\u30022024\u5e74\u513f\u7ae5\u5171\u8bc6\u53c2\u80032016\u5e74\u6210\u4eba\u6307\u5357\u8113\u6bd2\u75c7\u5b9a\u4e49\uff0c\u4e5f\u53d6\u6d88\u4e86’\u4e25\u91cd\u8113\u6bd2\u75c7’\u6807\u51c6\u3002<\/p>\n

2.4\u3000\u4e0d\u540c\u8d44\u6e90\u5730\u533a\u53ef\u4ee5\u901a\u8fc7\u81f3\u5c112\u5206\u7684PSS\u6765\u786e\u5b9a\u7591\u4f3c\u6216\u786e\u8bca\u611f\u67d3\u7684\u513f\u7ae5\u662f\u5426\u5b58\u5728\u5371\u53ca\u751f\u547d\u7684\u5668\u5b98\u529f\u80fd\u969c\u788d\u3002\u65b0\u7684PSS\u662f\u4e00\u4e2a\u6d89\u53ca4\u4e2a\u5668\u5b98\u7cfb\u7edf\u7684\u590d\u5408\u8bc4\u5206\u6a21\u578b\uff0c\u5305\u62ec\u5fc3\u8840\u7ba1\u3001\u547c\u5438\u3001\u795e\u7ecf\u548c\u51dd\u8840\u7cfb\u7edf\u529f\u80fd\u969c\u788d\u6807\u51c6\u30022024\u5e74\u513f\u7ae5\u5171\u8bc6\u662f\u53c2\u80032016\u5e74\u6210\u4eba\u6307\u5357\u63d0\u51fa\u4e86\u513f\u7ae5\u8113\u6bd2\u75c7\u6807\u51c6\uff0c\u5c06\u5668\u5b98\u529f\u80fd\u969c\u788d\u540c\u6837\u5f15\u5165\u513f\u7ae5\u8113\u6bd2\u75c7\u8bca\u65ad\uff0c\u5e76\u6839\u636e\u73b0\u67098\u79cd\u513f\u79d1\u5668\u5b98\u529f\u80fd\u969c\u788d\u8bc4\u5206\u7684\u4e9a\u5206\u6570\u901a\u8fc7\u56de\u5f52\u6a21\u578b\u53ca\u8f6c\u5316\u4ea7\u751f\u65b0\u7684\u5668\u5b98\u529f\u80fd\u969c\u788d\u8bc4\u5206\uff0c\u5373Phoenix-8\u548cPSS\u3002PSS\u6d89\u53ca\u5fc3\u8840\u7ba1\u3001\u547c\u5438\u3001\u795e\u7ecf\u548c\u51dd\u88404\u4e2a\u7cfb\u7edf\uff0c\u800cPhoenix-8\u5219\u5728PSS\u57fa\u7840\u4e0a\u589e\u52a0\u80be\u810f\u3001\u809d\u810f\u3001\u514d\u75ab\u53ca\u5185\u5206\u6ccc\u7cfb\u7edf\uff08 \u88683 \uff09\u3002\u76f8\u5bf9\u4e8e\u5176\u4ed6\u5668\u5b98\u529f\u80fd\u969c\u788d\u8bc4\u5206\uff0c\u5728\u53d7\u8bd5\u8005\u5de5\u4f5c\u7279\u5f81\u66f2\u7ebf\u4e0b\u9762\u79ef\uff08area under the receiver operating characteristic curve\uff0cAUROC\uff09\u76f8\u4f3c\u7684\u60c5\u51b5\u4e0b\uff0cPSS\u6709\u66f4\u9ad8\u7684\u7cbe\u786e\u7387\u53ec\u56de\u7387\u66f2\u7ebf\u4e0b\u9762\u79ef\uff08area under the precision recall curve\uff0cAUPRC\uff09\uff08 \u88683 \uff09 [ <\/sup>7 ]<\/sup>\u3002AUPRC\u4ee5\u7075\u654f\u5ea6\u53ca\u9633\u6027\u9884\u6d4b\u503c\u4e3a\u4e3b\u8981\u6027\u80fd\u6307\u6807\uff0c\u76f8\u5bf9\u4e8eAUROC\uff0c\u5bf9\u4e8e\u5206\u5e03\u4e0d\u5e73\u8861\u7684\u6570\u636e\u8bc4\u4f30\u66f4\u51c6\u786e\u3002\u6839\u636e \u88683 , PSS\u76f8\u5bf9\u4e8e\u5176\u4ed6\u8bc4\u5206\uff08\u5305\u62ecPELOD-2\u3001pSOFA\u7b49\uff09\u6709\u66f4\u9ad8\u7684\u7075\u654f\u5ea6\u548c\u9633\u6027\u9884\u6d4b\u503c\u3002PSS\u8bc4\u5206\u9608\u503c\u22652\u5206\u65f6\uff0c\u786e\u8bca\u6216\u7591\u4f3c\u611f\u67d3\u513f\u7ae5\u524d24 h\u5185\u7684\u9662\u5185\u75c5\u6b7b\u7387\u7684\u9633\u6027\u9884\u6d4b\u503c\u8f83\u9ad8\uff0c\u7075\u654f\u5ea6\u4e5f\u4e0ePhoenix-8\u76f8\u5f53\u751a\u81f3\u8f83\u9ad8\uff0c\u5e76\u4e14\u53ef\u9002\u7528\u4e8e\u4e0d\u540c\u8d44\u6e90\u5730\u533a\u7684\u60a3\u513f\u3002\u7531\u4e8ePSS\u8bc4\u5206\u53ea\u6d89\u53ca4\u4e2a\u7cfb\u7edf\uff0c\u5f53\u5408\u5e76\u80be\u3001\u809d\u7b49\u5176\u4ed6\u810f\u5668\u529f\u80fd\u969c\u788d\u65f6\uff0c\u4e34\u5e8a\u533b\u751f\u548c\u7814\u7a76\u4eba\u5458\u53ef\u4ee5\u4f7f\u7528Phoenix-8 [ <\/sup>7 ]<\/sup>\u3002<\/p>\n<\/p>\n

2.5\u3000\u8113\u6bd2\u6027\u4f11\u514b\u662f\u513f\u7ae5\u8113\u6bd2\u75c7\u7684\u4e00\u79cd\u4e9a\u578b\uff0c\u8868\u73b0\u4e3a\u5fc3\u8840\u7ba1\u529f\u80fd\u969c\u788d\uff0c\u4e0e\u66f4\u9ad8\u7684\u75c5\u6b7b\u7387\u76f8\u5173\u3002PSS\u8bc4\u5206\u7684\u5fc3\u8840\u7ba1\u7cfb\u7edf\u81f3\u5c11\u4e3a1\u5206\u7684\u8113\u6bd2\u75c7\u53ef\u4ee5\u786e\u5b9a\u4e3a\u8113\u6bd2\u6027\u4f11\u514b\u3002\u8113\u6bd2\u6027\u4f11\u514b\u81ea2005\u5e74\u81f32024\u5e74\u513f\u7ae5\u5171\u8bc6\u5747\u8ba4\u4e3a\u662f\u8113\u6bd2\u75c7\u5408\u5e76\u5fc3\u8840\u7ba1\u529f\u80fd\u969c\u788d\u30022005\u5e74\u513f\u7ae5\u8113\u6bd2\u6027\u4f11\u514b\u6807\u51c6\u7684\u5fc3\u8840\u7ba1\u529f\u80fd\u969c\u788d\u4e3a\u7ecf\u5145\u5206\u6db2\u4f53\u590d\u82cf\u540e\u4ecd\u5b58\u5728\u4f4e\u8840\u538b\uff08\u6536\u7f29\u538b\uff09\u6216\u9700\u8981\u8840\u7ba1\u6d3b\u6027\u836f\u7269\u7ef4\u6301\u8840\u538b\u6216\u5b58\u57282\u9879\u4ee5\u4e0a\u7ec4\u7ec7\u704c\u6ce8\u5f02\u5e38\u6307\u6807\uff0c\u5176\u4e2d\u4e73\u9178\u5927\u4e8e\u6b63\u5e38\u4e0a\u9650\u76842\u500d\u4f5c\u4e3a\u7ec4\u7ec7\u704c\u6ce8\u5f02\u5e38\u6307\u6807\u4e4b\u4e00\u3002\u76f8\u5bf9\u4e8e2005\u5e74\u513f\u7ae5\u5171\u8bc6\uff0c2024\u5e74\u513f\u7ae5\u5171\u8bc6\u7684\u5fc3\u8840\u7ba1\u529f\u80fd\u969c\u788d\u5e76\u672a\u5f3a\u8c03\u9700\u8981\u5145\u5206\u6db2\u4f53\u590d\u82cf\uff0c\u800c\u4ee5\u5e74\u9f84\u76f8\u5173\u7684\u4f4e\u5e73\u5747\u52a8\u8109\u538b\uff0c\u9700\u89811\u79cd\u53ca\u4ee5\u4e0a\u7684\u8840\u7ba1\u6d3b\u6027\u836f\u7269\u6216\u4e73\u9178\u22655 mmol\/L\u4f5c\u4e3a\u6807\u51c6\uff0c\u7b26\u5408\u5176\u4e2d1\u9879\u7684\u8113\u6bd2\u75c7\u5219\u4e3a\u8113\u6bd2\u6027\u4f11\u514b\u30022024\u5e74\u513f\u7ae5\u5171\u8bc6\u7684\u4f4e\u8840\u538b\u6807\u51c6\u4ee5\u5e73\u5747\u52a8\u8109\u538b\u4ee3\u66ff\u539f\u6765\u7684\u6536\u7f29\u538b\u4f5c\u4e3a\u8840\u538b\u8bc4\u4f30\u6307\u6807\uff0c\u8840\u7ba1\u6d3b\u6027\u836f\u7269\u7ef4\u6301\u5e76\u672a\u5f3a\u8c03\u5242\u91cf\uff08\u5305\u62ec\u591a\u5df4\u80fa\uff09\uff0c\u5e76\u5c06\u4e73\u9178\u5355\u72ec\u4f5c\u4e3a\u8bc4\u4f30\u5fc3\u8840\u7ba1\u529f\u80fd\u969c\u788d\u7684\u6307\u6807\u4e4b\u4e00\uff0c\u63d0\u9ad8\u4e86\u4e73\u9178\u5728\u8113\u6bd2\u6027\u4f11\u514b\u8bca\u65ad\u4e2d\u7684\u4ef7\u503c\u3002<\/p>\n

2.6\u3000\u51fa\u73b0\u8fdc\u9694\u611f\u67d3\u90e8\u4f4d\u5668\u5b98\u529f\u80fd\u969c\u788d\u7684\u8113\u6bd2\u75c7\u60a3\u513f\u5b58\u5728\u66f4\u9ad8\u7684\u6b7b\u4ea1\u98ce\u9669\uff0c\u63d0\u793a\u5b58\u5728\u5371\u53ca\u751f\u547d\u7684\u5168\u8eab\u7d2f\u53ca\u7684\u75be\u75c5\u8fdb\u7a0b\u30022005\u5e74\u513f\u7ae5\u5171\u8bc6\u7684\u4e25\u91cd\u8113\u6bd2\u75c7\u4e3a\u8113\u6bd2\u75c7\u57fa\u7840\u4e0a\u5408\u5e76\u5668\u5b98\u529f\u80fd\u969c\u788d\uff0c\u800c2024\u5e74\u513f\u7ae5\u5171\u8bc6\u5219\u5c06\u8113\u6bd2\u75c7\u5b9a\u4e49\u4e3a\u4e0e\u611f\u67d3\u76f8\u5173\u7684\u5668\u5b98\u529f\u80fd\u969c\u788d\u3002\u5668\u5b98\u529f\u80fd\u969c\u788d\u4e0e\u8113\u6bd2\u75c7\u9884\u540e\u5bc6\u5207\u76f8\u5173\u3002\u7136\u800c\uff0c\u5b58\u5728\u8fdc\u79bb\u539f\u53d1\u611f\u67d3\u90e8\u4f4d\u5668\u5b98\u529f\u80fd\u969c\u788d\u7684\u8113\u6bd2\u75c7\u60a3\u513f\u75c5\u6b7b\u7387\u8f83\u9ad8\uff08\u5728\u9ad8\u8d44\u6e90\u548c\u4f4e\u8d44\u6e90\u73af\u5883\u4e2d\u5206\u522b\u4e3a8. 0%\u548c32. 3%\uff09\u3002\u76f8\u6bd4\u4e4b\u4e0b\uff0c\u5668\u5b98\u529f\u80fd\u969c\u788d\u4ec5\u9650\u4e8e\u539f\u53d1\u611f\u67d3\u90e8\u4f4d\u7684\u8113\u6bd2\u75c7\u60a3\u513f\u75c5\u6b7b\u7387\u8f83\u4f4e\uff08\u5728\u9ad8\u8d44\u6e90\u548c\u4f4e\u8d44\u6e90\u73af\u5883\u4e2d\u7684\u75c5\u6b7b\u7387\u5206\u522b\u4e3a1. 7%\u548c6. 1%\uff09\u3002\u56e0\u6b64\uff0c\u5b58\u5728\u8fdc\u79bb\u539f\u53d1\u611f\u67d3\u90e8\u4f4d\u7684\u5668\u5b98\u529f\u80fd\u969c\u788d\u7684\u60a3\u513f\u5b58\u5728\u66f4\u9ad8\u6b7b\u4ea1\u98ce\u9669\u3002<\/p>\n

3\u3000\u65b0\u7248\u513f\u7ae5\u8113\u6bd2\u75c7\u5171\u8bc6\u8bca\u65ad\u6d41\u7a0b<\/p>\n

\u6839\u636e\u65b0\u7248\u6807\u51c6\uff0c\u611f\u67d3\u5408\u5e76PSS\u22652\u5206\u5219\u8bca\u65ad\u8113\u6bd2\u75c7\uff0c\u82e5\u8113\u6bd2\u75c7\u5408\u5e76\u5fc3\u8840\u7ba1\u529f\u80fd\u969c\u788d\uff0c\u8bca\u65ad\u8113\u6bd2\u6027\u4f11\u514b\u3002\u4e34\u5e8a\u5b9e\u8df5\u4e2d\uff0c\u53ef\u4ee5\u53c2\u7167 \u56fe1 \u6d41\u7a0b\u4f7f\u7528PSS\u8bc4\u5206\u5bf9\u7591\u4f3c\u611f\u67d3\u7684\u60a3\u513f\u8fdb\u884c\u6297\u751f\u7d20\u6cbb\u7597\u3001\u76d1\u6d4b\u53ca\u8bc4\u4f30\u7b5b\u67e5\u8113\u6bd2\u75c7\uff0c\u5bf9\u6000\u7591\u8113\u6bd2\u75c7\u7684\u60a3\u513f\u8bc4\u4f30\u5668\u5b98\u529f\u80fd\u635f\u4f24\u5e76\u53ca\u65f6\u8fdb\u884c\u5fc5\u8981\u7684\u5668\u5b98\u529f\u80fd\u652f\u6301\u3002<\/p>\n<\/p>\n

\u56fe1 \u513f\u7ae5\u8113\u6bd2\u75c7\u53ca\u8113\u6bd2\u6027\u4f11\u514b\u8bca\u65ad\u6d41\u7a0b\u56fe [ 6 ]<\/sup><\/p>\n

4\u3000\u8ba8\u8bba\u4e0e\u5c55\u671b<\/p>\n

2024\u5e74\u513f\u7ae5\u5171\u8bc6\u53c2\u80032016\u5e74\u6210\u4eba\u6307\u5357\uff0c\u5c06\u4ee5\u611f\u67d3\u5f15\u8d77\u7684\u5668\u5b98\u529f\u80fd\u969c\u788d\u4f5c\u4e3a\u8113\u6bd2\u75c7\u8bca\u65ad\u6807\u51c6\uff0c\u5f15\u5165\u8bc4\u5206\u7cfb\u7edf\u5bf9\u6b7b\u4ea1\u98ce\u9669\u8fdb\u884c\u9884\u6d4b\uff0c\u540c\u65f6\u8003\u8651\u4e86\u6b20\u53d1\u8fbe\u5730\u533a\u4ee5SpO 2\u3001\u683c\u62c9\u65af\u54e5\u660f\u8ff7\u8bc4\u5206\u7b49\u4f5c\u4e3a\u8bca\u65ad\u4f9d\u636e\u5177\u6709\u79ef\u6781\u610f\u4e49\uff1b\u76f8\u5bf9\u4e8e2005\u5e74\u8bca\u65ad\u6807\u51c6\uff0c\u5fc3\u8840\u7ba1\u529f\u80fd\u969c\u788d\u8bc4\u4ef7\u66f4\u7b80\u5355\u6613\u884c\uff0c\u9002\u7528\u4e8e\u5e7f\u6cdb\u4e34\u5e8a\u5e94\u7528\uff0c\u4f46\u9009\u53d6\u795e\u7ecf\u53ca\u51dd\u8840\u7cfb\u7edf\u8fdb\u884c\u5668\u5b98\u529f\u80fd\u969c\u788d\u8bc4\u4ef7\u662f\u5426\u8db3\u591f\u5177\u6709\u4ee3\u8868\u6027\uff0c\u9700\u8981\u5728\u4e34\u5e8a\u5b9e\u8df5\u4e2d\u8fdb\u4e00\u6b65\u68c0\u9a8c\u3002\u540c\u65f6\uff0c\u8be5\u6307\u5357\u7684\u8bc4\u5206\u5236\u5b9a\u4e3a\u5165\u966224 h\u7684\u65f6\u95f4\u7a97\u53e3\uff0c\u662f\u5426\u9002\u7528\u4e8e\u9662\u5185\u611f\u67d3\u9700\u8981\u8fdb\u4e00\u6b65\u63a8\u6572\u3002\u4f46\u603b\u800c\u8a00\u4e4b\uff0c\u65b0\u7248\u513f\u7ae5\u8113\u6bd2\u75c7\u6807\u51c6\u7684\u4f7f\u7528\u6709\u53ef\u80fd\u6539\u5584\u5168\u7403\u513f\u7ae5\u8113\u6bd2\u75c7\u548c\u8113\u6bd2\u6027\u4f11\u514b\u7684\u4e34\u5e8a\u6551\u6cbb\u3001\u6d41\u884c\u75c5\u5b66\u8bc4\u4f30\u548c\u7814\u7a76\u3002\u672a\u6765\u4ecd\u9700\u8981\u5927\u89c4\u6a21\u6d41\u884c\u75c5\u5b66\u7814\u7a76\u9a8c\u8bc1\u5176\u5728\u4e2d\u56fd\u513f\u7ae5\u4eba\u7fa4\u4e2d\u7684\u4e34\u5e8a\u4ef7\u503c\u3002<\/p>\n

\u53c2\u8003\u6587\u732e\uff08\u7565\uff09<\/p>\n<\/p>\n

  <\/p>\n

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