摘要
目的评价临床肺感染评分系统(CPIS)在通气机相关肺炎(VAP)诊断中的准确性。方法回顾性调查了解放军总医院在1986年7月～2004年6月间,机械通气>48h的80例老年尸检病例,分别用临床诊断标准和CPIS进行评价。结果80例患者发生34例VAP;临床诊断的敏感性67.6%、特异性58.7%、CPIS的敏感性76.5%、特异性67.4%。结论CPIS评分对本研究人群VAP的诊断价值优于临床诊断标准。
OBJECTIVE To assess the diagnostic accuracy of the clinical pulmonary infection score (CPIS) in the (diagnosis) of ventilator-associated pneumonia (VAP). METHODS To investigate retrospectively 80 old autopsy (cases) who had ventilation more than 48 hours in General Hospital of PLA from Jul 1986 to Jun 2004. Clinical (criteria) and CPIS were measured at the onset of VAP. RESULTS Thirty four of 80 patients developed VAP. (Clinical) diagnosis for VAP had a sensitivity of 67.6% and a specificity of 58.7%, CPIS at a threshold of (6 achieved) a sensitivity of 76.5% and a specificity of 67.4%. CONCLUSIONS In our study population, the use of CPIS is better than clinical criteria in the diagnosis of VAP.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2005年第7期751-752,共2页
Chinese Journal of Nosocomiology
关键词
临床肺感染评分
通气机相关肺炎
尸检
Clinical pulmonary infection score
Ventilator-associated pneumonia
Autopsy
