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张群华; 倪泉兴; 张延龄; 曹国海; 傅德良; 姚琪远; 金忱; 虞先浚; 张妞
中华外科杂志, 2001, Volume: 39, Issue: 4Journal Article
R656; 目的 探讨POSSUM和APACHEⅡ评分系统对胰腺癌患者外科治疗影响的临床价值。方法 应用POSSUM和APACHEⅡ评分系统对84例胰腺癌患者围手术期进行回顾分析。 结果 本组患者中,青年组(n=36)的病死率和并发症分别为5.5%和19.4%,老年组(n=48)病死率和并发症分别为6.2%和20.8%,略低于APACHEⅡ和POSSUM评分预测的老年组病死率(12.5%)和并发症(25.5%),中青年组病死率(11.1%)和并发症(25%)。 结论 POSSUM和APACHEⅡ能反映胰腺癌患者的病情,并且可影响选择最适宜的手术方式。POSSUM评分系统更适宜于指导胰腺癌手术的围手术期处理。
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