ஜின் வாங்
??????? & ???????: ???? ??????? ???????, ????? ?????????? ???????? ?????? ??????? ???????? (SCAP) ??????????? 28 ???? ??????????? ?????? ?????????? ????????????? ??? ????? ?????? ????????????????. ???????: 2011.01-2013.12 ??? ???? 173 ???????????????? ??????? 37,348 SCAP ????????? ICU ??? ????????????????. 28 ???? ??????????? ??????????? ??????????? ???????? ?????????? ????????? ????????????. ??????? ???????????? ????? ????????, ????? ????????, ????? ?????????????? ???????? ??????? ???? ????? ???? ??????????????? ????????. ????????? ??????? ????????? ???? (CART) ????????????? ????, SCAP ??????????? ????? ???????????? ??? ????? ???????? ????????? ???? ????????????????. ??????? ???????????? ?????????????? (??????) ????? ??????? ???????????? ??????????????? ??????? (?????) ???? ??????? ??????? ????????????????. ?????????: ????? ?????????????? (Cr) ≥259.5 μmol/L, leukocyte (WBC) ≥17.35×109/L, C-?????????? ?????? (CRP) ≥189.4 μg/mL,99.4 μg/mL, CLCGH ???????? ??????? ?? ???????????? ??? ????? ???????? ??????. ??????? ????? HCO3− ≤17.65 mmol/L, ????????????????? ??????? ??????? ?????????? SCAP ??? ??????????? ?????????? ??? ?????????? ???????? ????????. ????????????? ????????, ????? ????????? ???????? AUC ???? ??????????????? ???????? ?????? 0.889 ?? ????????, ??? SOFA ????????? 0.877, APACHE II ????????? 0.864 ???????, ?????? PSI ????????? 0.761 ??????? CURB-65 ????????? 0.767 ? ??? ???????? ????????. ?????????: ????? ????????? ???? CLCGH ?????? SCAP ????????????? ???????? ??????????? ???????? ?????? ??? ????????, ?????????? ??????? ??????? ??????????.