常用危重癥病情評分方法

1、常用危重癥病情評分方法一.創(chuàng)傷嚴重程度評分和結局預測軟件創(chuàng)傷嚴重程度評分方法1. 簡明損傷程度評分(Abbreviated Injury Severity, AIS -2005版)評價創(chuàng)傷嚴重程度(解剖學角度)2. 損傷程度汁分法和新損傷程度(Injury Severity ScoreNews Injury Severity Score. ISS &NISS) 評價損傷程度嚴垂程度(解剖學角度)3. 昏迷程度評價方法(Glasgow coma scale, GCS) 評價中樞神經系統(tǒng)損害程度4. 創(chuàng)傷程度評價方法(TraumaScore. TS) 評價創(chuàng)傷程度嚴重程度(解剖學.生理學角度)5

2、修正創(chuàng)傷評價方法6.小兒損傷程度評分(Revised Trauma Score. RTS),評價損傷程度嚴重程度(Paediatric Trauma Score, PTS).評價小兒損傷程度(解剖學.生理學角度) 7.院前創(chuàng)傷指數(Prehospital Index PHI)8腹部創(chuàng)傷指數(AbdominalTrauma Index. ATI)，評價腹部創(chuàng)傷程度9. 貫穿性腹部創(chuàng)傷扌斤數(Penetrating Abdominal Trauma Index, PATI)10. 肺爆震傷評分(Respiratory Severity Score in Acute Blast Injury)截肢扌

3、旨數(Limb Salvage Index. LSI)12. 下肢開放性骨折汁分(NISSSA score for grading the severity of an open fracture of the lower extrmity)13. 骨盆骨折內臟傷汁分(Risk of Visceral Injury with Pelvic Fracture)14臟器損傷計分(Organ Injury Scaling. OIS)15. 預測創(chuàng)傷病人的結局16. 創(chuàng)傷病人存活概率預測方法(Trauma Injury Severity Score, Survival Probability. TRI

4、SS),偵測創(chuàng)傷病人的結局(存活概率)-笑國版和中國版17. 創(chuàng)傷嚴重程度特征評價方法(A Severity Characterization of Trauma, Surivival Probability ASCOT). 預測創(chuàng)傷病人的結局(存活概率，Ps) 芙國版和中國版18. 燒傷病人結局預測方法二.綜合性急危重癥評分軟件適川于徐?？频奈Ｖ夭∪?創(chuàng)傷病人.于術后病人.如ICU.CCU. SICU等。能夠動態(tài)判斷疾病的嚴重 程度、預測并發(fā)癥和死亡的危險性。1. 急性生理功能和慢性健康狀況評分系統(tǒng) II、III (acute physiology and chronic health ev

5、aluation IL III, 簡稱 APACHE IL III)2女系統(tǒng)功能不全評分方法(multiple organ dysfunction syndrome score,簡稱 MODS Score)3死亡率預測方法(mortality prediction models,簡稱 MPM)MPMO. MPM24, MPM48和MPM72分別用入ICU時、24. 48、和72小時的參數進行預測,它們的權 重和系數是不同的。4簡明急性生理功能評分方法(simplified acute physiology score II,簡稱 SAPS II)5. 24h-ICU 評分法(24h-Point

6、 System)6. 營養(yǎng)評價三腦功能評分軟件腦損傷后功能狀況評分匸具集用于備種類型腦損傷后神經功能狀況評分和結局預測用于腦損傷急性期損傷嚴重程度1. Glasgow 昏迷描數(Glasgow Coma Scale,GCS2. Glasgow 腦損傷預后描數(經典型和細化型，Glasgow Outcome Scale & Extended Glasgow OutcomeScale tGOS &GOSE)3. 昏迷嚴重程度評分(The Coma/Near Coma Scale. CNCS)4. 腦損傷恢復期過激行為評分(The Agitated Behavior Scale. ABS)用于腦損傷

7、后殘疾程度評分5. 殘疾程度評分(Disability Rating Scale. DRS)6中國版神經功能缺失評分(Chinese Stroke Scale , CSS)7. 美國版神經功能缺失評分(The NIH Stroke Scale , NIHSS)8. 歐洲版神經功能缺失評分( European Stroke Scale. ESS)9. 功能獨立性評分(Functional Independence Measure. FIM)10修訂型 Barthel 功能獨立性評分(Modified Barthel Index. MBI)用于腦損傷后運動功能評分11. Fugle-Meyer 運

8、動功能評分(Fugle-Meyer Scale. FMS)12. Brunnstrom 運動功能評分(Brunnstrom Scale. BS)用于腦損傷后心理狀況評分13. 漢密頓焦慮程度評分(Hamilton Anxiety Scale. HAMA)14. 漢密頓抑郁程度評分(Hamilton Depression Rating Scale. HAMD)四呼吸功能評分軟件1. 急性呼吸宕迫癥評分方法(acute respirative distress syndrome score.簡稱 ARDS Score)2臨床肺部感染評分(Simplified clinical pulmonary

9、infection score, CPIS)3呼吸機使用指征(Ventilation Index)4呼吸機使用臨床扌&征(Clinical Signs Indicating the Need for Mechanical Ventilation in a Patient)通過 呼吸率、節(jié)律、脈軸、肌力和反應計分。5順應性率氧合壓力指數(Compliance, Rate, Oxygenation, Pressure. CROP Index)用于呼吸機使用過 程的監(jiān)測和脫機判斷6呼吸機使用和脫機汁分(VentilatorScore) 用于呼吸機使用過程的監(jiān)測和脫機指南 7呼吸機不良因素評分(Adv

10、erse Factor Score),用于呼吸機使用過程的監(jiān)測和脫機判斷五心血管功能評分軟件 用于心臟橋人.判斷心功能狀況、預測并發(fā)癥和死亡的危險性。用于評價心功能狀況的工具血流動力學、心臟作功和耗氧等評估(Hemodynamic Evaluation )2. 氧合評價(Oxygenation Evaluation )3. 心功能曲線(Starling Curves):CI-PCWP心功能曲線SI-LVEDP心功能曲線Arterial Elastance (Ea)心功能曲線LVEDP-LVEDV心功能曲線4心哀分期和心功能分級(The Stages of Heart Failure. ACC/

11、AHA制定)5.休能描數(The Duke Activity Status Index )用于預測心臟并發(fā)癥的丄具6心肌梗塞溶栓風險傾測(ST抬癰型，TIMI Risk Score for STEMI)7心肌梗塞溶栓風險預測(非ST抬島型，TIMI Risk Score for non-STEMI)8經皮冠脈成形術風險預測(Risk Score for PTCA)9房顫病人中風風險預測(Risk of Stroke with AF)預測冠心病和其他心血管疾病風險的匚具lO.Pocock 氏 5年心血管風險預測(Pococks 5-Yr CVD Risk Prediction)11 歐洲10年心

12、血管風險預測(SCORE in Europe)l2.Framingham 氏 10 年心血管風險預測(Framinghams Estimation of Risk of CVD)六腎臟功能評分軟件1 急性腎功能不全診斷系統(tǒng)2 腎衰病人抗菌素劑雖涮整3.血透充分性評估4 酸堿平衡評估和糾正5 水電解質平衡評估和糾正七. 消化道功能評分軟件1 上消化道出血預測(Predictive Index for Upper Gl Hemorrhage )2.1:消化道出血危因 il分(Risk Factors of Acute Upper Gastrointestinal Bleeding)3胃腸道出血危因

13、死亡率預測(Scoring System for Predicting the Mortality Rate Associated with Severe Gastroduodenal Hemorrhage)Outcome after Acute Hemorrhage from Esophageal Varices4.ICU 病人急性消化道出血危因計分(Illness Severity Index Score for Risk of Acute Upper GastrointestinalBleeding for Patients in the Intensive Care Unit)5肝碩化

14、 Child-pugh 分級(The Child-Pugh Score for Grading Hepatic Cirrhosis) 86. IE出血性川唄化預后指數(Prognostic Index for Nonbleeding Cirrhosis)7肝炎后肝化預后計分(Erasme Prognostic Score for Hepatic Cirrhosis)8肝碩化病人首次胃腸出血或昏迷后預后il分(Prognostic Index for Patients with Cirrhosis After the FirstEpisode of Gastrointestinal Bleedi

15、ng or Coma)9急性腆腺炎預后標準(Glasgow Prognostic Criteria in Acute Pancreatitis (Imrie Criteria)10急性胰腺炎 CT 訃分(CT Severity Index (Balthazar Score) in Acute Pancreatitis)11 膽源性和酒精性急性腴腺炎鑒別訃分(Scoring System to Distinguish Biliary from AlcoholicPancreatitis)12急性胰腺炎死亡率預測(Prediction of Mortality in Acute Pancreati

16、tis Using Serum Creatinine andChest Radiographs)八. 凝血功能評分軟件1彌漫性血管內凝血評分方法(disseminated intravascular coagulation score, DIC Score)2川索誘導的血小板減少評分(A Score for Estimating the Likelihood of Heparin-InducedThrombocytopenia )3抗漩相關大出血風險預測(Risk Score for Anticoagulant-related Major Bleeding in Hospitalized Pa

17、tients)4急性靜脈栓塞治療期出血風險預測(Utrecht Bleeding Risk Score During Treatment of Acute VenousThromboembolism)九. 麻醉于術風險評分方法：用于于術橋人.判斷病人對于術的耐受性.預測并發(fā)癥和死亡的危險性用于預測麻醉于術風險并發(fā)癥和死亡率1 .Peters 麻醉風險傾測法(Modification of the Anesthetic Risk Assessment by Peter and Lutz)2麻醉風險預測法E-PASS (Estimation of Physiologic Ability and S

18、urgical Stress (E-PASS), withPreoperative Risk Score (PRS), Surgical Stress Score (SSS) and Comprehensive Risk Score (CRS)3.Detsky* IK心臟于術心臟風險扌斤數(Detskys Modified Cardiac Risk Index)用于預測普外于術風險并發(fā)癥和死亡率4于術并發(fā)癥和死亡率評分系統(tǒng)(Physiological and Operatiive severity Score for the enumeration ofMortality and Morbid

19、ity, POSSUM)用于偵測各類手術并發(fā)癥和死亡概率Portsmouth-POSSUM (P-POSSUM).結直腸-POSSUM(colorectal-POSSUM, Cr-POSSUM).上消化 道-POSSUM (Oesophagogastric-POSSUM, OPOSSUM)、血管-POSSUM(Vascular-POSSUM , V-POSSUM)5肉齡病人于術死亡率預測(Predicting Operative Mortality in Geriatric Patients)6術后院內死亡率預測(Risk Indicators of Mortality in Hospital After Anaesthesia and Surgery)7Wellss深靜脈和肺栓塞風險預測(Prediction of Risk of DVT and PE)8體能狀況扌盲數(The Duke Activity Status Index)用于預測獲得性心臟于術風險并發(fā)癥和死亡率9. Parsonnefs 心臟于術風險預測 96 版(Predictive score for acquired adult heart surgery. Parsonnet Score)10. Parsonnefs 心臟手術風