搜索
():430030[]R576[]A[]100129057(2007)0220136204[]/;/;/MEDLINECochrane1(ICU)(MRCP)(EUS)(ERCP)1,,,31,,,2B,,2,3,,(ARDS),4:(1);(2);(3);(4)10%20%(SIRS)2SIRS(),,,30,,242(SIRS)290/20/PCO232mmHg36384000/mm312000/mm332:(1);(2)()3:(3)CT()3,3,CT,(),,,(),/,,24,,63120072242JClinInternMed,February2007,Vol,24,No.2,,,CT(CT)CT,,CT:,,,(MRI)MRCPCT1992,,,()()()(,)48RansonAPACHE2332Ranson3APACHE28(),CT,CT:,3cm30%,(),,,4,,()()4(PLT100,000/mm3,100mg/dl,80g/ml),(7.5mg/dl)42290mmHgPaO260mmHgCr2.0mg/L()500ml/24h,,,:1.(),242.()3,,,,47%3.4.,,/(),,5.,30%3cm,6.,1,,2,,,,,85%,15%73120072242JClinInternMed,February2007,Vol,24,No.2(4%47%),33%(16%47%)10%,,54%(29%78%)(34%89%)(45%73%)5%:3%,17%(30%,12%)(5,)0,3%(08%),47%(28%69%)80%,(12),2,22,I:(55)(BMI30),(),(ICU)::(ICU),,,(55)(BMI30kg/m2),,24APACHE2(A2PACHE2O)48,0,48,36%X24,,24,,,:48APACHE23APACHE21224:APACHE2(6)72APACHE2(APACHE284%,APACHE2811%18%)6APACHE[APACHE=()+()+()]+4+3+2+10+1+2+3+41()413940.93838.93638.43435.93233.93031.929.92(mmHg)160130159110129701095069493(bpm)1801401791101397010955694054394(bpm)5035492534122410116955(ml/min)5003504992003492006PO2(mmHg)7061705560557pH7.77.67.697.57.597.37.497.257.37.157.27.158(mmol/L)1801601791551591501541301491201291111191109(mmol/L)766.955.93.55.433.42.52.92.510(mg/dL)3.523.41.51.90.61.40.611(%)605059.94649.93045.92029.92012WBC(103/mL)402039.91519.9314.912.9144045542556436574575655283120072242JClinInternMed,February2007,Vol,24,No.2APACHE2,,APACHE23,APACHE2,,24APACHE243%,86%,48Ranson48%,93%APACHE224,48APACHE2,APACHE2Ranson,48,Ranson3,0%3%;3,11%15%;6,40%,110Ranson2RansonCr2mg/dL250mg/dL(39%16%)2,24Cr2mg/dL125mg/dL,(APACHE2O)APACHE2BMI2630APACHE21,30APACHE22,,4424,,24,2441%24,,24C2(CRP)72150mg/L,80%CRP3672,:23,CT:A.CT23CTCT,()CT(CT),,(Cr1.5mg/dL),CT,CTBalthazar2Ranson7CT,CT(A2E)(30%3050%50%)7Balthazar2RansonCTA00B11/32C21/24D31/26E4A:;B:;C:;D:;E:,2CT,,,;,CT(),(),()MRICT,MRI:CT,;;;MRICT,2MRCPMRI,MRIMRIB.,(48)(36%),,(4),(ICU),()93120072242JClinInternMed,February2007,Vol,24,No.2