[下载]CPIS软件-肺部感染HAP/VAP-上海国际医院感染控制论坛

safihu 发表于 2007-4-28 16:18

[下载]CPIS软件

临床肺部感染评分（ＣＰＩＳ）是一项综合了临床、影像学和微生物学标准等来评估感染严重程度，预测患者使用抗菌素时应该是调整或者停止的评分系统，目的是减少不必要的抗生素暴露。这些指标共７项，包括：体温、白细胞计数、气管分泌物、氧合情况、Ｘ线胸片、肺部浸润影的进展情况和气管吸取物培养。最高评分为１２分，当≤６分时可以停用抗生素。其他一些临床指南也提供了一些优化降阶梯治疗第二阶段的治疗方案，并可缩短抗生素疗程。可以考虑采用计算机辅助抗生素处理系统，以有效帮助临床医师选择抗生素，降低治疗费用，减少药物不良反应。<table cellspacing="0" cellpadding="0" width="622" border="0" style="WIDTH: 467pt; BORDER-COLLAPSE: collapse;"><tbody><tr height="19" style="HEIGHT: 14.25pt;"><td width="622" colspan="4" height="19" style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 700; FONT-SIZE: 12pt; VERTICAL-ALIGN: bottom; BORDER-LEFT: medium none; WIDTH: 467pt; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: windowtext 0.5pt solid; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; HEIGHT: 14.25pt; TEXT-ALIGN: center; TEXT-DECORATION: none;">临床CPIS系统</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td height="19" style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: bottom; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: windowtext 0.5pt solid; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; HEIGHT: 14.25pt; TEXT-ALIGN: center; TEXT-DECORATION: none;">项目</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: bottom; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: windowtext 0.5pt solid; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">0分</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: bottom; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: windowtext 0.5pt solid; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">1分</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: bottom; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: windowtext 0.5pt solid; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">2分</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td height="19" style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; HEIGHT: 14.25pt; TEXT-DECORATION: none;">体温(12小时平均值，℃)</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">36～38</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">38～39</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">＞39或＜36</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td height="19" style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; HEIGHT: 14.25pt; TEXT-DECORATION: none;">白细胞计数(×109/L)</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">4～11</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">11～17</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">＜4或＞17</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td height="19" style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; HEIGHT: 14.25pt; TEXT-DECORATION: none;">分泌物(24小时吸出物性状数量)</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">无痰或少许</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">中～大量，非脓性</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">中～大量，脓性</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td height="19" style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; HEIGHT: 14.25pt; TEXT-DECORATION: none;">气体交换指数(PaO2/FiO2,kPa)</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">＞33</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">　</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: medium none; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">＜33</td></tr><tr height="19" style="HEIGHT: 14.25pt;"><td height="19" style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: windowtext 0.5pt solid; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; HEIGHT: 14.25pt; TEXT-DECORATION: none;">X线胸片侵润影</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: windowtext 0.5pt solid; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">无</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: windowtext 0.5pt solid; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">斑片状</td><td style="BORDER-RIGHT: medium none; PADDING-RIGHT: 1px; BORDER-TOP: medium none; PADDING-LEFT: 1px; FONT-WEIGHT: 400; FONT-SIZE: 12pt; VERTICAL-ALIGN: middle; BORDER-LEFT: medium none; COLOR: windowtext; PADDING-TOP: 1px; BORDER-BOTTOM: windowtext 0.5pt solid; FONT-STYLE: normal; FONT-FAMILY: 宋体; WHITE-SPACE: nowrap; TEXT-ALIGN: center; TEXT-DECORATION: none;">融合片状</td></tr></tbody></table>

[此贴子已经被作者于2007-4-28 8:24:07编辑过]

[ 本帖最后由木瓜于 2007-5-26 16:42 编辑 ]

一枝梅 发表于 2007-4-28 17:30

个嘛！我已经早提供了哈！不过还是谢谢!

木瓜发表于 2007-4-28 21:00

p>这个评分系统一支梅确实在另一话题中提供了下载，不过还是谢谢safihu版主。不知这个评分系统在临床应用情况怎么样啊，至少我在湖北的一家三甲医院呆过大半年时间都没听说过呀？这个表不是只列出5项吗，加起来最高也只有10分，‘在235’战友另一话题里讲到“推断可知，还有两项是1分的。那就是氧合情况（充分，不充分？），气管吸取物培养（阳性，阴性？）”，氧合情况是看血氧饱和度吧？标准又是多少呢？ 初入门径，还望各位不吝赐教

木瓜发表于 2007-5-9 08:17

p><img src="attachments/dvbbs/2007-5/2007590154989057.jpg" border="0" onload="if(this.width>screen.width*0.7) {this.resized=true; this.width=screen.width*0.7; this.alt=\'Click here to open new window\nCTRL+Mouse wheel to zoom in/out\';}" onmouseover="if(this.width>screen.width*0.7) {this.resized=true; this.width=screen.width*0.7; this.style.cursor=\'hand\'; this.alt=\'Click here to open new window\nCTRL+Mouse wheel to zoom in/out\';}" onclick="if(!this.resized) {return true;} else {window.open(\'attachments/dvbbs/2007-5/2007590154989057.jpg\');}" onmousewheel="return imgzoom(this);" alt="" /> 这是胡教授上传的“美国胸科协会和美国感染病协会对医院内获得性肺炎诊治指南的修订”里头的，和我们以前看到的有点不一样，特别是那几项数据，不知道差别是从哪来的？

safihu 发表于 2007-5-9 08:22

<div class="quote">以下是引用木瓜在2007-5-9 0:17:11的发言： <img src="attachments/dvbbs/2007-5/2007590154989057.jpg" border="0" onload="if(this.width>screen.width*0.7) {this.resized=true; this.width=screen.width*0.7; this.alt=\'Click here to open new window\nCTRL+Mouse wheel to zoom in/out\';}" onmouseover="if(this.width>screen.width*0.7) {this.resized=true; this.width=screen.width*0.7; this.style.cursor=\'hand\'; this.alt=\'Click here to open new window\nCTRL+Mouse wheel to zoom in/out\';}" onclick="if(!this.resized) {return true;} else {window.open(\'attachments/dvbbs/2007-5/2007590154989057.jpg\');}" onmousewheel="return imgzoom(this);" alt="" /> 这是胡教授上传的“美国胸科协会和美国感染病协会对医院内获得性肺炎诊治指南的修订”里头的，和我们以前看到的有点不一样，特别是那几项数据，不知道差别是从哪来的？</div>可能这是新版的吧,这样的话就够12分了.呵,,

木瓜发表于 2007-5-9 08:29

2分是够了，但白细胞那项10,000和11,000中间断开了，不晓得是咋回事。

gaoxd5 发表于 2007-5-9 19:12

<img src="attachments/dvbbs/2007-5/20075911122711120.jpg" border="0" onload="if(this.width>screen.width*0.7) {this.resized=true; this.width=screen.width*0.7; this.alt=\'Click here to open new window\nCTRL+Mouse wheel to zoom in/out\';}" onmouseover="if(this.width>screen.width*0.7) {this.resized=true; this.width=screen.width*0.7; this.style.cursor=\'hand\'; this.alt=\'Click here to open new window\nCTRL+Mouse wheel to zoom in/out\';}" onclick="if(!this.resized) {return true;} else {window.open(\'attachments/dvbbs/2007-5/20075911122711120.jpg\');}" onmousewheel="return imgzoom(this);" alt="" />

gaoxd5 发表于 2007-5-9 19:16

<div class="O" vshape="_x0000_s1026"><div style="mso-line-spacing: "115 20 0"; mso-margin-left-alt: 216; mso-char-wrap: 1; mso-kinsoku-overflow: 1;">•<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">CPIS与<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">BAL细菌指数二者相关性<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">0.8； </div><div style="mso-line-spacing: "115 20 0"; mso-margin-left-alt: 216; mso-char-wrap: 1; mso-kinsoku-overflow: 1;">•<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">CPIS>6分时<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">BAL微生物学检查有<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">93％达到肺炎诊断标准；≤<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">6分时<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">BAL无一达到肺炎的微生物学诊断标准；
<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">CPIS>6分诊断敏感性<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">93％，特异性和阳性预测值<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">100％； </div><div style="mso-line-spacing: "115 20 0"; mso-margin-left-alt: 216; mso-char-wrap: 1; mso-kinsoku-overflow: 1;">•尸检对照，<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">CPIS敏感性<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">77％，特异性<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">42％； </div><div style="mso-line-spacing: "115 20 0"; mso-margin-left-alt: 216; mso-char-wrap: 1; mso-kinsoku-overflow: 1;">•<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">CPIS可用于监测疗效和尽早停用抗生素，如果在怀疑肺炎应用抗生素<span lang="EN-US" style="FONT-SIZE: 28pt; FONT-FAMILY: "Times New Roman"; text-shadow: auto; mso-ascii-font-family: "Times New Roman"; mso-fareast-font-family: 宋体; mso-hansi-font-family: "Times New Roman"; mso-fareast-language: ZH-CN;">3天仍持续低积分，则可停用或减少抗生素。
</div><div style="mso-line-spacing: "100 50 0"; mso-margin-left-alt: 216; mso-char-wrap: 1; mso-kinsoku-overflow: 1;"></div></div>

gaoxd5 发表于 2007-5-9 19:16

<div class="O" vshape="_x0000_s1026"><div style="mso-line-spacing: '115 20 0'; mso-margin-left-alt: 216; mso-char-wrap: 1; mso-kinsoku-overflow: 1;"></div><div style="mso-line-spacing: '100 50 0'; mso-margin-left-alt: 216; mso-char-wrap: 1; mso-kinsoku-overflow: 1;"></div></div><img src="attachments/dvbbs/2007-5/20075911203594663.jpg" border="0" onload="if(this.width>screen.width*0.7) {this.resized=true; this.width=screen.width*0.7; this.alt=\'Click here to open new window\nCTRL+Mouse wheel to zoom in/out\';}" onmouseover="if(this.width>screen.width*0.7) {this.resized=true; this.width=screen.width*0.7; this.style.cursor=\'hand\'; this.alt=\'Click here to open new window\nCTRL+Mouse wheel to zoom in/out\';}" onclick="if(!this.resized) {return true;} else {window.open(\'attachments/dvbbs/2007-5/20075911203594663.jpg\');}" onmousewheel="return imgzoom(this);" alt="" /> 
[此贴子已经被作者于2007-5-9 11:20:43编辑过]

亲亲子衿 发表于 2018-5-11 08:08

！！！！！！！！！！！！！！！！！！！！！

小白天使 发表于 2018-5-14 05:16

临床肺部感染评分（ＣＰＩＳ）是一项综合了临床、影像学和微生物学标准等来评估感染严重程度，预测患者使用抗菌素时应该是调整或者停止的评分系统，目的是减少不必要的抗生素暴露。这些指标共７项，包括：体温、白细胞计数、气管分泌物、氧合情况、Ｘ线胸片、肺部浸润影的进展情况和气管吸取物培养。最高评分为１２分，当≤６分时可以停用抗生素
谢谢老师分享！！！学习了。很实用的。

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