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目的:评价修正休克指数在急诊病情判断中的作用与意义。方法:选取2014-2015年于我院急诊科就诊的216例患者作为本次研究对象,对本组患者的相应休克指数(SI)、平均动脉压(MAP)、修正休克指数(MSI)参考值范围等进行回顾性分析。结果:MSI参考值范围在0.33-1.60次/(min.mm Hg)(1mm Hg=0.133k Pa)左右,MSI阳性预测值为16.24%>MAP(6.14)>脉搏(5.75%)>收缩压(5.32%)>SI(3.69%),五者的阴性预测值近似且都较高。结论:急诊使进入抢救室患者比例与MAP、SI、MSI、脉搏、收缩压等存在密切联系,MSI是参与急诊指导的重要指标。
Objective: To evaluate the role and significance of modified shock index in judging the emergency condition. METHODS: A total of 216 patients treated in the emergency department of our hospital from 2014 to 2015 were selected as the study objects. The corresponding indexes of SI, MAP, MSI (Reference Shock Index) For retrospective analysis. Results: The MSI reference values ranged from 0.33-1.60 times /(min.mm Hg) (1mm Hg = 0.133kPa), the MSI positive predictive value was 16.24%> MAP (6.14)> pulse (5.75%)> systolic blood pressure 5.32%)> SI (3.69%). The negative predictive values of the five were similar and both were higher. Conclusions: There is a close relationship between the proportion of patients entering the emergency room and the MAP, SI, MSI, pulse rate and systolic blood pressure in the emergency department. MSI is an important indicator for emergency management.