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APACHE II 項目毎スコア計算
 生理学的変数値Score
1直腸温(℃)
2平均血圧(mmHg)
3心拍数
4呼吸数
5酸素化能

 
6動脈血 pH
7血清Na(mM/L)
8血清K(mM/L)
9血清Cre(mg/dL)
急性腎不全

 
10HCT(%)
11WBC(×103/mm3)
12GCS
  APS

APS = Acute Physiology Score


加算項目毎スコア計算
A年齢
B慢性疾患 下記の免疫不全または
重度臓器障害が
 

免疫不全または重度臓器障害
肝生検で肝硬変,門脈圧亢進,肝不全・肝性昏睡の既往
心NYHA ��
呼吸慢性の拘束性,閉塞性疾患・血管疾患による重度の運動障害(家事不能など), 慢性の低酸素血症,高炭酸ガス血症,2次性多血症,重症(40mmHg)肺高血圧症,人工呼吸器依存状態
腎維持透析
免疫不全免疫抑制剤や長期または大量ステロイド投与,化学療法,照射療法,白血病,リンパ腫,AIDS

APACHE Score =

疾患別重み付け(非術後)
呼吸不全
喘息-2.108
COPD-0.367
肺水腫(非心源性)-0.251
呼吸停止後-0.168
誤嚥・中毒-0.142
肺梗塞-0.128
感染0
腫瘍0.891
循環不全
高血圧-1.798
不整脈-1.368
うっ血性心不全-0.424
出血性ショック・脱水0.493
冠動脈疾患-0.191
敗血症0.113
心停止後0.393
心源性ショック-0.259
胸部・腹部大動脈瘤0.731
外傷
多発外傷-1.228
頭部外傷-0.517
脳神経
痙攣発作-0.584
ICH・SDH・SAH0.723
その他
薬物中毒-3.353
糖尿病性ケトアシドーシス-1.507
上記以外
消化管出血0.334
代謝・腎-0.885
呼吸器系-0.890
脳神経系-0.759
心血管系0.470
消化管0.501

疾患別重み付け(術後)
非緊急緊急
多発外傷-1.684-1.081
心血管系の慢性疾患-1.376-0.773
末梢血管手術-1.315-0.712
弁膜症手術-1.261-0.658
脳腫瘍開頭術-1.245-0.642
腎腫瘍手術-1.204-0.601
腎移植手術-1.042-0.439
頭部外傷-0.955-0.352
肺腫瘍開胸術-0.802-0.199
ICH,SDH,SAH開頭術-0.788-0.185
椎弓手術・脊髄手術-0.699-0.096
出血性ショック-0.682-0.079
消化管出血-0.617-0.014
消化管腫瘍開腹術-0.2480.355
術後呼吸不全-0.1400.463
消化管穿孔・閉塞-0.0600.663
上記以外
脳神経系-1.150-0.574
心血管系-0.797-0.194
呼吸器系-0.610-0.007
消化管-0.613-0.01
代謝・腎-0.1960.407
疾患別重み付け =
緊急手術後に

推定死亡率 =

My God, My God,
May it never, never end.
The sand and the sea,
the jitter of the water,
the shine of the sky,
the prayer of Man.

"A Walk to Caesarea" / Hanah Senesh
( Translated from Hebrew by Shlomi Fish )

    -- Hanah Senesh
    -- Walk to Caesarea

 <rindolf>  Deiu: which editor are you using?
    <Deiu>  Ugh, let me catch up with the convo first
    <Deiu>  And yeah, I use vim too
 <rindolf>  Deiu: ah good. If you were using Eight Megabytes And
            Continuously Swapping , I would have to swap you with it!
 <rindolf>  I have a column of vim tips on one of my blogs.
 <rindolf>  I also like Escape-Meta-Alt-Control-Shift.
 <rindolf>  There are a lot of jokes about Emacs.
     <Zuu>  There are lots of jokes about your mom too ;)
 <rindolf>  Zuu: eMom
     <Zuu>  eh?
 <rindolf>  e-Macs -> eMum
 <rindolf>  "Your Mom is so fat, only Emacs takes more memory than her."
     <Zuu>  nope, doesnt work
 <rindolf>  Zuu: :-(
     <Zuu>  Your emacs is so fat that your mom could fit in it
 <rindolf>  Heh.
     <Zuu>  ahhh, yes, much better
 <rindolf>  Zuu++
     <Zuu>  :P
       -->  dbm has joined ##programming
         *  rindolf stores some key/value pairs in dbm
         *  Zuu stores some moms in dbm
     <dbm>  lol
 <rindolf>  Zuu: you overflowed him.
     <Zuu>  :>
     <dbm>  ;)
 <rindolf>  Or her, don't know.
 <rindolf>  them.
     <dbm>  'him'
 <rindolf>  OK.
 <rindolf>  dbm: I don't recall your nick.
     <dbm>  dbm= dont bother me
 <rindolf>  don't be mean.
     <dbm>  ;)
     <Zuu>  or: do bother me

    -- Your Emacs is so fat
    -- ##programming, Freenode


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