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对肾移植术后病情危重需要进入重症监护室的124例病人进行APACHⅡ评戏,根据公式计算死亡风险率,并与病人的实际死亡率作比较分析.结果发现死亡率随APACHⅡ评分增高而显著上升.死亡组APACHⅡ评分与存活组比较,差异有非常显著性(P<0.001).预测的死亡风险率与实际死亡率之间存在着明显的线性相关性,且有较高的敏感性和特异性。结果表明.APACHⅡ评分法是预测肾移植术后重症患者预后的理想方法。
124 critically ill patients admitted to intensive care unit after critical renal transplantation were evaluated by APACH Ⅱ, the risk of death was calculated according to the formula and compared with the actual mortality of patients. The results showed that the mortality rate increased significantly with APACH Ⅱ score. The APACH Ⅱ score in death group was significantly higher than that in survival group (P <0.001). There is a clear linear correlation between the predicted risk of death and actual mortality, with a high sensitivity and specificity. The results show. The APACH II score is an ideal way to predict the prognosis of critically ill patients after kidney transplantation.