POSSUM评分系统在肝移植中作用及临床意义.PDFVIP

·87· 主堡墅望箜型墨查!!!!至!旦箜!!鲞笙!塑篁竖!』旦!￡!!!坚!堕坚坠坚!!生型!型；!!!!!!!：!i：塑!：； ·论著· POSSUM评分系统在肝移植中作用 及临床意义 陈秀凯 秦建民 李文雄 王小文 郎韧 贺强 陈大志 陈惠德 【摘要】 目的探讨POSSUM评分系统在肝移植术后并发症和死亡率评估中作用。方法应 用POSSUM评分系统对126倒肝移植病人进行评估．观察术后实际并发症发生率和死亡率，并与预 测值比较。结果预测并发症发生52人，实际发生数38人(PO．05)．符合率73．1％。预测死亡数 35人。实际死亡数10人(P0．05)，符合率为28．6％。高危组预测准确性高．符合率50．0％～ 100％，而低危组高估死亡率。符合率12．5％。结论POSSUM评分系统高估术后并发症，但能较好 的预测高危病人术后死亡率。 【关键词】肝移植；POSSUM评分；临床意义 clinical ofPOSSUM in Roleand liver CHENXiu—kai’，QIN significance scoringsystem transplantation Jfan-rain，LJ IntensiveCare Uni— Wen—xiong，eta1．+Surgical Unit，ChaoyangHospital，Capital 0rMedicalSciences，Bei100020，P．R。China versity iing To theroleofthePoSSUM in [Abstract]Objective explore scoringsystemevaluatingpostop— and A l26 erative jnJiver totalof whoneed eomplicationsmortalitytran5：plantation．Metbodspatients tobe an oflivertransDlantationwereevaluatedtheP()SSUM tO performedoperation by scoringsystem observetherealincidenceof and and therealvalues complicationsmortalitypostoperativelycompare withtheestimatedones．Results wereestimatedtooccurin52casesand Complications theyactually in WaS differencebetweentheestimatedandreal 38．There values(PO．05)and appeared significant was deadineideneeof35caseswas differentfromthe thecoincidence73．1％．Theestimated markedly realoneof10cases(PO．05)andthecoincidenceWaS28．6％．Thecoincidenceinhigh—riskSUbgroup thanthatoflow-ri