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karen_lee14金虫 (初入文坛)
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[求助]
急求！！！！就要答辩，导师说文献翻译不标准，求帮忙！！！
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目的:探讨肺损伤预测评分（LIPS）在预测脓毒症患者合并ARDS中的价值和可行性。 方法:应用临床病例资料统计表，回顾性分析我院急诊重症监护室（EICU）自2014年1月至2014年12月收治的55例严重脓毒症患者的主要临床资料，建立数据库。进行肺损伤预测评分（LIPS），参考ARDS柏林新诊断标准，将患者分为ARDS组和非ARDS组，比较2组患者的肺损伤预测评分（LIPS）和序贯器官衰竭估计评分(SOFA)等，评估患者7天生存情况,并进行相关性分析。评价LIPS、SOFA对预测脓毒症患者合并ARDS死亡的风险。并对两种评分进行相关性分析。 结果 :入选的55例严重脓毒症患者中，参考ARDS柏林新诊断标准，其中25例合并ARDS，30例未合并ARDS。与非ARDS组相比，ARDS组的7天生存情况、LIPS较高，且病死率高达34.88%但LIPS与SOFA评分间的相关性不强(r为0.342,P＜0.05).LIPS评分对预测ARDS有意义[曲线下面积(AUC) =0.832,95% CI:0.728 ～0.908,P＜0.001],当LIPS＞7分时,预测ARDS的敏感度为83.72%,特异性为78.12%.结论 LIPS对预测严重脓毒症合并ARDS的准确性较好,较急诊常用的SOFA系统具有较好的相关性,早期即可获得,临床操作性较强,该评分系统为预测ARDS提供了可能。 结论:肺损伤预测评分（LIPS）在预测严重脓毒症患者合并ARDS中具有早期预测作用。 |
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灿灿妹
至尊木虫 (著名写手)
- 翻译EPI: 68
- 应助: 135 (高中生)
- 贵宾: 1.097
- 金币: 14467.1
- 散金: 3921
- 红花: 102
- 沙发: 3
- 帖子: 2121
- 在线: 396.8小时
- 虫号: 1783324
- 注册: 2012-04-27
- 性别: GG
- 专业: 环境工程
【答案】应助回帖
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Results: Refered to ARDS Berlin new diagnostic criteria, 25 were merged with ARDS while 30 were not merged with ARDS among the 55 selected cases with severe sepsis. Compared with non- ARDS group, 7 days' survival situation and LIPS were higher, the mortality reached 34.88%, but the correlation between LIPS and SOFA was not strong (r=0.342,P＜0.05). The LIPS has significant to ARDS prediction ( AUC==0.832,95% CI:0.728 ～0.908,P＜0.001), when LIPS was greater than 7, the sensitivity and specificity of ARDS prediction were 83.72% and 78.12% , respectively. Conclusion: it was showed that LIPS, which could be obtianed at early stage and with strong clinic operating, has better veracity to predict patients with severe sepsis merged ARDS and aslo has good correlation than SOFA system that frequently used in emergency, and indicated that LIPS scoring system has provided a possible to ARDS prediction. Conclusion LIPS has the early prediction effect in the prediction of patients with severe sepsis merged ARDS |
3楼2015-05-27 13:29:08
灿灿妹
至尊木虫 (著名写手)
- 翻译EPI: 68
- 应助: 135 (高中生)
- 贵宾: 1.097
- 金币: 14467.1
- 散金: 3921
- 红花: 102
- 沙发: 3
- 帖子: 2121
- 在线: 396.8小时
- 虫号: 1783324
- 注册: 2012-04-27
- 性别: GG
- 专业: 环境工程
【答案】应助回帖
★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★
karen_lee14: 金币+50, 翻译EPI+1 2015-05-27 13:43:52
karen_lee14: 金币+50, 翻译EPI+1 2015-05-27 13:43:52
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Purpose: Discussion on value and feasibility of lung injury prediction score （LIPS）in the prediction of patients with sepsis merged ARDS Methods: For establishing the data base, the main clinical materials of 55 patients with severe sepsis, which were treated in EICU of our hospital from January 2014 to December 2014, were retrospective analyzed due to the application of clinical data statistics. For LIPS, patients were divided into ARDS and non- ARDS 2 groups based on ARDS Berlin new diagnostic criteria, then the LIPS, SOFA and etc of the 2 groups were compared to evaluate 7 days' survival situation of patients to perform correlation analysis. Morever, LIPS and SOFA that used to predict the mortality risk of patients with sepsis merged ARDS were evaluated, and the two score methods also were performed correlation analysis. |
2楼2015-05-27 12:59:47
karen_lee14
金虫 (初入文坛)
- 应助: 0 (幼儿园)
- 金币: 1228.5
- 帖子: 4
- 在线: 5.3小时
- 虫号: 2800876
- 注册: 2013-11-14
- 专业: 急重症医学/创伤/烧伤/整形
4楼2015-05-27 13:44:25