{"id":62675,"date":"2025-12-31T05:10:44","date_gmt":"2025-12-31T05:10:44","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=62675"},"modified":"2025-12-31T05:10:44","modified_gmt":"2025-12-31T05:10:44","slug":"%e5%bf%83%e8%a1%80%e7%ae%a1%e5%86%85%e7%a7%91%e5%b8%b8%e7%94%a8%e8%af%84%e4%bc%b0%e9%87%8f%e8%a1%a8%e6%b1%87%e6%80%bb%ef%bc%8c%e9%99%84%e6%93%8d%e4%bd%9c%e6%ad%a5%e9%aa%a4%e4%b8%8e%e8%af%84%e5%ae%9a","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=62675","title":{"rendered":"\u5fc3\u8840\u7ba1\u5185\u79d1\u5e38\u7528\u8bc4\u4f30\u91cf\u8868\u6c47\u603b\uff0c\u9644\u64cd\u4f5c\u6b65\u9aa4\u4e0e\u8bc4\u5b9a\u6807\u51c6"},"content":{"rendered":"

\u5fc3\u8840\u7ba1\u5185\u79d1\u5e38\u7528\u91cf\u8868\u6765\u8bc4\u4f30\u60a3\u8005\u75c5\u60c5\u3001\u9884\u6d4b\u98ce\u9669\uff0c\u91cf\u8868\u5728\u5236\u5b9a\u6cbb\u7597\u65b9\u6848\u548c\u9884\u6d4b\u75be\u75c5\u8fdb\u5c55\u7b49\u65b9\u9762\u53d1\u6325\u7740\u91cd\u8981\u4f5c\u7528\u3002\u5e38\u7b11\u533b\u5b66\u6574\u7406\u4e866\u4e2a\u5fc3\u8840\u7ba1\u5185\u79d1\u5e38\u7528\u7684\u8bc4\u4f30\u91cf\u8868\uff0c\u652f\u6301\u4e0b\u8f7d\u548c\u5728\u7ebf\u4f7f\u7528\uff0c\u4f9b\u4e34\u5e8a\u533b\u62a4\u4eba\u5458\u53c2\u8003\u3002<\/p>\n

01GRACE\u7f3a\u8840\u98ce\u9669\u8bc4\u4f30GRACE\u7f3a\u8840\u98ce\u9669\u8bc4\u4f30<\/p>\n

\uff08\u5b8c\u6574\u91cf\u8868\u8bf7\u70b9\u51fb\u91cf\u8868\u540d\u79f0\u67e5\u770b\uff09<\/p>\n

GRACE\u8bc4\u5206\u4e3b\u8981\u7528\u4e8e\u9884\u6d4bACS\u9662\u5185\u75c5\u6b7b\u7387\u3002GRACE\u7f3a\u8840\u98ce\u9669\u8bc4\u4f30\u51718\u4e2a\u9879\u76ee\uff0c\u603b\u52060~372\u5206\u3002\u5bf9NSTE-ACS\u60a3\u8005\u5e94\u5f53\u8fdb\u884c\u5371\u9669\u5206\u5c42\uff0c\u6839\u636e\u5371\u9669\u5206\u5c42\u51b3\u5b9a\u662f\u5426\u8fdb\u884c\u65e9\u671f\u8840\u8fd0\u91cd\u5efa\u6cbb\u7597\uff0cGRACE\u5371\u9669\u8bc4\u5206\u662f\u5371\u9669\u5206\u5c42\u7684\u9996\u9009\u8bc4\u5206\u65b9\u6cd5\u3002<\/p>\n

\u5efa\u8bae\u6839\u636eGRACE\u8bc4\u5206\u662f\u5426\uff1e140\u53ca\u9ad8\u5371\u56e0\u7d20\u7684\u591a\u5c11\uff0c\u4f5c\u4e3a\u5bf9NSTE-ACS\u60a3\u8005\u9009\u62e9\u7d27\u6025\uff08\uff1c2\u5c0f\u65f6\uff09\u3001\u65e9\u671f\uff08\uff1c24\u5c0f\u65f6\uff09\u4ee5\u53ca\u5ef6\u8fdf\uff0872\u5c0f\u65f6\u5185\uff09\u6709\u521b\u6cbb\u7597\u7b56\u7565\u7684\u4f9d\u636e\u3002<\/p>\n

\u6307\u5357\u5efa\u8bae\uff1aGRACE\u8bc4\u5206\uff1e140\u6216\u81f3\u5c111\u9879\u9ad8\u5371\u56e0\u7d20\uff0c\u75c7\u72b6\u53cd\u590d\u53d1\u4f5c\uff0c\u53ef\u8bf1\u53d1\u7684\u7f3a\u8840\u60a3\u8005\u5e94\u7528\u6709\u521b\u6cbb\u7597\u7b56\u7565\uff08\u2160A\uff09\uff0c\u5b58\u5728\u9ad8\u5371\u7f3a\u8840\u98ce\u9669\u7684\u60a3\u8005\uff08\u987d\u56fa\u6027\u5fc3\u7ede\u75db\u3001\u5408\u5e76\u5145\u8840\u6027\u5fc3\u529b\u8870\u7aed\u3001\u5fc3\u5f8b\u5931\u5e38\u6216\u8840\u6d41\u52a8\u529b\u5b66\u4e0d\u7a33\u5b9a\uff09\u5e94\u884c\u7d27\u6025\u51a0\u72b6\u52a8\u8109\u9020\u5f71\uff08\uff1c2\u5c0f\u65f6\uff09\uff08\u2161aC\uff09\uff1bGRACE\u8bc4\u5206\uff1e140\u6216\u5b58\u5728\u591a\u9879\u5176\u4ed6\u9ad8\u5371\u56e0\u7d20\u7684\u60a3\u8005\u5e94\u63a5\u53d7\u65e9\u671f\u6709\u521b\u6cbb\u7597\u7b56\u7565\uff08\uff1c24\u5c0f\u65f6\uff09\uff1bGRACE\u8bc4\u5206\uff1c140\u6216\u4e0d\u5b58\u5728\u591a\u9879\u5176\u4ed6\u9ad8\u5371\u56e0\u7d20\uff0c\u4f46\u75c7\u72b6\u53cd\u590d\u53d1\u4f5c\u6216\u8d1f\u8377\u8bd5\u9a8c\u9633\u6027\u7684\u60a3\u8005\u5efa\u8bae\u63a5\u53d7\u5ef6\u8fdf\u6709\u521b\u6cbb\u7597\u7b56\u7565\uff0872\u5c0f\u65f6\u5185\uff09\uff1b\u6574\u4f53\u98ce\u9669\u4f4e\uff0c\u6709\u521b\u8bca\u65ad\u6216\u4ecb\u5165\u5e72\u9884\u5b58\u5728\u9ad8\u98ce\u9669\u7684\u60a3\u8005\u4e0d\u63a8\u8350\u5e94\u7528\u6709\u521b\u6cbb\u7597\u7b56\u7565\u3002<\/p>\n

02Killip\u5206\u7ea7Killip\u5206\u7ea7<\/p>\n

\uff08\u5b8c\u6574\u91cf\u8868\u8bf7\u70b9\u51fb\u91cf\u8868\u540d\u79f0\u67e5\u770b\uff09<\/p>\n

\u5fc3\u529f\u80fdKillip\u5206\u7ea7\u662f\u9488\u5bf9\u6025\u6027\u5fc3\u808c\u6897\u6b7b\u60a3\u8005\u51fa\u73b0\u5fc3\u529b\u8870\u7aed\u800c\u5236\u5b9a\u7684\u5206\u7ea7\u6807\u51c6\uff0c\u5c06\u6025\u6027\u5fc3\u808c\u6897\u6b7b\u60a3\u8005\u5206\u4e3a\u56db\u7ea7\u3002Killip I\u7ea7\u662f\u6307\u6ca1\u6709\u4efb\u4f55\u5fc3\u529b\u8870\u7aed\u7684\u8868\u73b0\uff1bKillip II\u7ea7\u662f\u6307\u8f7b\u5230\u4e2d\u5ea6\u7684\u5fc3\u529b\u8870\u7aed\u8868\u73b0\uff0c\u80ba\u5185\u7684\u5570\u97f3\u51fa\u73b0\u8303\u56f4\u5c0f\u4e8e\u53cc\u4fa7\u80ba\u91ce\u768450%\uff0c\u540c\u65f6\u53ef\u4ee5\u51fa\u73b0\u5954\u9a6c\u5f8b\uff0c\u7aa6\u6027\u5fc3\u52a8\u8fc7\u901f\u7b49\u5fc3\u5f8b\u5931\u5e38\uff1bKillip III\u7ea7\u662f\u91cd\u5ea6\u5fc3\u529b\u8870\u7aed\uff0c\u5408\u5e76\u80ba\u6c34\u80bf\uff0c\u80ba\u5185\u5570\u97f3\u7684\u8303\u56f4\uff0c\u8d85\u8fc7\u53cc\u4fa7\u80ba\u91ce\u768450%\uff1bKillip IV\u7ea7\u662f\u6307\u5fc3\u6e90\u6027\u4f11\u514b\u53ca\u5408\u5e76\u4e86\u4f4e\u8840\u538b\uff0c\u53d1\u7ec0\uff0c\u5927\u6c57\uff0c\u5c11\u5c3f\u7b49\u75c7\u72b6\u3002<\/p>\n

03TIMI\u98ce\u9669\u6307\u6570TIMI\u98ce\u9669\u6307\u6570<\/p>\n

\uff08\u5b8c\u6574\u91cf\u8868\u8bf7\u70b9\u51fb\u91cf\u8868\u540d\u79f0\u67e5\u770b\uff09<\/p>\n

TIMI\u98ce\u9669\u6307\u6570\u6765\u6e90\u4e8e\u7f8e\u56fa\u6eb6\u6813\u6cbb\u7597\u7684InTIME II\u4e34\u5e8a\u8bd5\u9a8c\uff0cTIMI\u98ce\u9669\u6307\u6570\u53ef\u4ee5\u72ec\u7acb\u9884\u6d4b\u60a3\u800524\u5c0f\u65f6\u3001\u4f4f\u9662\u671f\u95f4\u300130\u5929\u5185\u7684\u6b7b\u4ea1\u7387\uff0c\u591a\u5e94\u7528\u4e8e\u6025\u6027\u5fc3\u808c\u6897\u6b7b\u8fdb\u884c\u5feb\u901f\u5371\u9669\u5206\u5c42\u548c\u9884\u540e\u8bc4\u4f30\uff0c\u5c24\u5176\u662f\u975e\u9009\u62e9\u6027\u7684STEMI\u60a3\u8005\u3002<\/p>\n

\u8ba1\u7b97TIMI\u5371\u9669\u6307\u6570\u6240\u9700\u7684\u8d44\u6599\u7b80\u5355\u3001\u6613\u5f97\uff0c\u4efb\u4f55\u4e34\u5e8a\u5de5\u4f5c\u4eba\u5458\u6216\u8005\u533b\u7597\u8f85\u52a9\u4eba\u5458\u5747\u53ef\u4ee5\u5f88\u5feb\u5f97\u5230TIMI\u98ce\u9669\u6307\u6570\u3002Wiviott\u7b49\u4eba\u5c06\u5176\u6269\u5c55\u5230153486\u4f8bSTEMI\u60a3\u8005\uff0cTIMI\u5371\u9669\u6307\u6570\u5bf9\u4f4f\u9662\u671f\u95f4\u6b7b\u4ea1\u7387\u7684\u9884\u6d4b\u663e\u793a\u4e86\u826f\u597d\u7684\u5206\u8fa8\u5ea6\uff08AUROCC 0.79\uff09\uff0c\u8bc1\u5b9e\u4e86\u5176\u5e94\u7528\u4e8e\u4e34\u5e8a\u5de5\u4f5c\u4e2d\u9884\u6d4bSTEMI\u60a3\u8005\u77ed\u671f\u6b7b\u4ea1\u5371\u9669\u7684\u53ef\u884c\u6027\u548c\u6709\u6548\u6027\u3002<\/p>\n

TIMI\u98ce\u9669\u6307\u6570=[\u5fc3\u7387\u00d7(\u5e74\u9f84\/10)\u00b2]\/\u6536\u7f29\u538b\u3002TIMI\u98ce\u9669\u6307\u6570\u8d8a\u9ad8\uff0c\u5176\u6b7b\u4ea1\u7387\u53ca\u5fc3\u8870\u53d1\u751f\u7387\u8d8a\u9ad8\u3002<\/p>\n

04CRUSADE\u51fa\u8840\u98ce\u9669\u8bc4\u4f30CRUSADE\u51fa\u8840\u98ce\u9669\u8bc4\u4f30<\/p>\n

\uff08\u5b8c\u6574\u91cf\u8868\u8bf7\u70b9\u51fb\u91cf\u8868\u540d\u79f0\u67e5\u770b\uff09<\/p>\n

2009\u5e74Subherwal\u7b49\u63d0\u51fa\u4e86\u4e00\u79cd\u8bc4\u4f30\u4f4f\u9662\u60a3\u8005\u51fa\u8840\u98ce\u9669\u7684\u8bc4\u5206\u65b9\u6cd5\uff0c\u5373CRUSADE\u8bc4\u5206\uff0c\u662f\u4e34\u5e8a\u533b\u5e08\u5bf9\u975eST\u6bb5\u62ac\u9ad8\u6027\u5fc3\u808c\u6897\u6b7b\u60a3\u8005\u6cbb\u7597\u51b3\u7b56\u5de5\u5177\uff0c\u5df2\u88ab\u300a\u6025\u6027\u51a0\u72b6\u52a8\u8109\u7efc\u5408\u5f81\u975e\u8840\u8fd0\u91cd\u5efa\u60a3\u8005\u6297\u8840\u5c0f\u677f\u6cbb\u7597\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\u300b\u3001\u300a\u6297\u8840\u5c0f\u677f\u6cbb\u7597\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\uff082013\u7248\uff09\u300b\u63a8\u8350\u4f5c\u4e3a\u51fa\u8840\u98ce\u9669\u7684\u8bc4\u5206\u6807\u51c6\u3002<\/p>\n

CRUSADE\u51fa\u8840\u98ce\u9669\u8bc4\u4f30\u8bc4\u5206\u51718\u9879\uff0c\u8bc4\u5206\u226420\u5206\u4e3a\u6781\u4f4e\u5371\uff0c\u51fa\u8840\u53d1\u751f\u7387\u4e3a3.1%\uff1b\u8bc4\u5206\u4e3a21~30\u5206\u4e3a\u4f4e\u5371\uff0c\u51fa\u8840\u53d1\u751f\u7387\u4e3a5.5%\uff1b\u8bc4\u5206\u4e3a31~40\u5206\u4e3a\u4e2d\u5371\uff0c\u51fa\u8840\u53d1\u751f\u7387\u4e3a8.6%\uff1b\u8bc4\u5206\u4e3a41~50\u5206\u4e3a\u9ad8\u5371\uff0c\u51fa\u8840\u53d1\u751f\u7387\u4e3a11.9%\uff1b\u8bc4\u5206\uff1e50\u5206\u4e3a\u6781\u9ad8\u5371\uff0c\u51fa\u8840\u53d1\u751f\u7387\u4e3a19.5%\u3002<\/p>\n

05\u623f\u98a4\u60a3\u8005\u5352\u4e2d\u9884\u9632\u98ce\u9669CHA2DS2-VASc\u8bc4\u5206\u623f\u98a4\u60a3\u8005\u5352\u4e2d\u9884\u9632\u98ce\u9669CHA2DS2-VASc\u8bc4\u5206<\/p>\n

\uff08\u5b8c\u6574\u91cf\u8868\u8bf7\u70b9\u51fb\u91cf\u8868\u540d\u79f0\u67e5\u770b\uff09<\/p>\n

2010\u5e74Lip\u7b49\u4eba\u63d0\u51faCHA2DS2-VASc\u4f5c\u4e3a\u65b0\u7684\u623f\u98a4\u8111\u5352\u4e2d\u5371\u9669\u5206\u5c42\u7ba1\u7406\u8bc4\u5206\uff0c\u5e76\u88ab2012\u5e74ESC\u548c2014\u5e74ACC\/AHA\u623f\u98a4\u7ba1\u7406\u6307\u5357\u63a8\u8350\u4e3a\u552f\u4e00\u7684\u975e\u74e3\u819c\u6027\u623f\u98a4\u60a3\u8005\u8111\u5352\u4e2d\u5371\u9669\u5206\u5c42\u8bc4\u5206\uff0c\u7528\u4e8e\u6307\u5bfc\u6297\u6813\u6cbb\u7597\u3002<\/p>\n

\u76ee\u524d\u5bf9\u6813\u585e\u98ce\u9669\u8bc4\u4f30\u4e3b\u8981\u4f9d\u9760\u201cCHA2DS2-VASc\u201d\u8bc4\u5206\uff0c\u5176\u4e2dS2\u548cA2\u5206\u522b\u4ee3\u8868\u65e2\u5f80\u6709\u8840\u6813\u6813\u585e\u75c5\u53f2\u548c\u5e74\u9f84\u226575 \u5c81\u3002\u8fd9\u4e24\u9879\u56e0\u7d20\u53ef\u6210\u500d\u589e\u52a0\u60a3\u8005\u8840\u6813\u6813\u585e\u7684\u98ce\u9669\uff0c\u662f\u623f\u98a4\u60a3\u8005\u8840\u6813\u6813\u585e\u7684\u4e3b\u8981\u5371\u9669\u56e0\u7d20\uff0c\u6240\u4ee5\u8fd9\u4e24\u9879\u7684\u8bc4\u5206\u5404\u4e3a2\u5206\u3002\u800cA\u3001H\u3001C\u3001D\u3001Sc\u3001V\u5219\u5206\u522b\u4ee3\u8868\u5e74\u9f84>65\u5c81\u3001\u9ad8\u8840\u538b\u3001\u5fc3\u8870\u3001\u7cd6\u5c3f\u75c5\u3001\u5973\u6027\u548c\u8840\u7ba1\u75be\u75c5\u7b49\uff0c\u8840\u7ba1\u75be\u75c5\u662f\u6307\u5fc3\u808c\u6897\u6b7b\u3001\u590d\u5408\u578b\u4e3b\u52a8\u8109\u6591\u5757\u4ee5\u53ca\u5916\u5468\u52a8\u8109\u75be\u75c5\uff0c\u8fd9\u51e0\u9879\u5206\u522b\u4ee3\u88681\u5206\u3002\u6700\u9ad8\u8bc4\u5206\u4e3a9\u5206\uff0cCHA2DS2-VASc\u8bc4\u5206\u22652\u8005\u9700\u53e3\u670d\u6297\u51dd\u836f\u7269\uff1b\u8bc4\u5206\u4e3a1\u5206\u8005\uff0c\u53e3\u670d\u6297\u51dd\u836f\u7269\u6216\u4e0d\u8fdb\u884c\u6297\u6813\u6cbb\u7597\u5747\u53ef\uff1b\u65e0\u5371\u9669\u56e0\u7d20\uff0c\u5373\u8bc4\u52060\u5206\u8005\u4e0d\u9700\u6297\u6813\u6cbb\u7597\u3002<\/p>\n

06\u6025\u6027\u5fc3\u6897\u60a3\u8005\u4f4f\u9662\u5927\u51fa\u8840\u98ce\u9669\u8bc4\u4f30<\/p>\n

\u6025\u6027\u5fc3\u6897\u60a3\u8005\u4f4f\u9662\u5927\u51fa\u8840\u98ce\u9669\u8bc4\u4f30<\/p>\n

\uff08\u5b8c\u6574\u91cf\u8868\u8bf7\u70b9\u51fb\u91cf\u8868\u540d\u79f0\u67e5\u770b\uff09<\/p>\n

SWEDEHEART\u8bc4\u5206\u57fa\u4e8e5\u4e2a\u57fa\u7ebf\u53d8\u91cf\uff08\u5e74\u9f84\u3001\u6027\u522b\u3001\u8840\u7ea2\u86cb\u767d\u3001\u8840\u808c\u9150\u548cCRP\uff09\u9884\u6d4b\u8bc4\u4f30\u6240\u6709\u6025\u6027\u5fc3\u808c\u6897\u6b7b\u60a3\u8005\u4f4f\u9662\u671f\u95f4\u5927\u51fa\u8840\u98ce\u9669\u3002\u7ed3\u679c\u4f18\u4e8eCRUSADE\u8bc4\u5206\u548cACTION\u8bc4\u5206\u3002<\/p>\n

\u4ee5\u4e0a\u5c31\u662f\u5e38\u7b11\u533b\u5b66\u6574\u7406\u76846\u4e2a\u5fc3\u8840\u7ba1\u5185\u79d1\u5e38\u7528\u7684\u8bc4\u4f30\u91cf\u8868\uff0c\u5e0c\u671b\u5bf9\u4e34\u5e8a\u533b\u62a4\u6709\u6240\u5e2e\u52a9\u3002<\/p>\n

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