{"id":9438,"date":"2020-07-15T11:06:23","date_gmt":"2020-07-15T03:06:23","guid":{"rendered":"http:\/\/web.csh.org.tw\/web\/csh\/?p=9438"},"modified":"2024-11-13T11:34:12","modified_gmt":"2024-11-13T03:34:12","slug":"%e7%a9%bf%e5%ad%94%e6%80%a7%e6%b6%88%e5%8c%96%e6%80%a7%e6%bd%b0%e7%98%8d%e6%89%8b%e8%a1%93%e6%82%a3%e8%80%85-%e9%80%a0%e6%88%90%e4%be%b5%e8%a5%b2%e6%80%a7%e5%bf%b5%e7%8f%a0%e8%8f%8c%e6%84%9f%e6%9f%93","status":"publish","type":"post","link":"https:\/\/web.csh.org.tw\/web\/csh\/?p=9438","title":{"rendered":"\u7a7f\u5b54\u6027\u6d88\u5316\u6027\u6f70\u760d\u624b\u8853\u60a3\u8005 \u9020\u6210\u4fb5\u8972\u6027\u5ff5\u73e0\u83cc\u611f\u67d3\u7684\u5371\u96aa\u56e0\u5b50\u53ca\u9810\u5f8c"},"content":{"rendered":"<p><strong>1.<\/strong><strong>\u7814\u7a76\u7d50\u679c\uff1a<\/strong><\/p>\n<p>\u767d\u8272\u5ff5\u73e0\u83cc\u662f\u4fb5\u8972\u6027\u5ff5\u73e0\u83cc\u611f\u67d3 (ICI)\u7684\u4e3b\u8981\u75c5\u539f\u9ad4\uff0874.29%\uff09\u3002\u88ab\u611f\u67d3\u4e4b\u5f8c\uff0c\u60a3\u8005\u4f75\u767c\u83cc\u8840\u75c7\u6a5f\u6703\u66f4\u9ad8\uff08p &lt; 0.001\uff09\uff0c\u4e26\u4e14\u6703\u5ef6\u9577\u547c\u5438\u5668\u4f7f\u7528\u6642\u9593\uff08p &lt; 0.001\uff09\u52a0\u8b77\u75c5\u623f\uff08p &lt; 0.001\uff09\u548c\u6574\u9ad4\u4f4f\u9662\u5929\u6578\uff08p &lt; 0.001\uff09\uff0c\u4e5f\u6703\u589e\u52a0\u6b7b\u4ea1\u7387\uff08p = 0.02\uff09\u3002\u5728\u591a\u8b8a\u91cf\u5206\u6790\u4e2d\uff0c\u5165\u9662\u6642\u6e2c\u91cf\u7684\u8840\u6e05\u4e73\u9178\u6c34\u5e73 (lactate)\u8207 ICI \u7684\u767c\u751f\u7368\u7acb\u76f8\u95dc\uff08p=0.03\uff09\u3002\u809d\u786c\u5316 (p=0.03) \u548c\u9023\u7e8c\u5668\u5b98\u8870\u7aed\u8a55\u4f30 (SOFA) \u8a55\u5206 (p=0.007) \u8207 90 \u5929\u6b7b\u4ea1\u7387\u7368\u7acb\u76f8\u95dc\u3002<\/p>\n<p><strong>2.\u7814\u7a76\u8ca2\u737b\u8207\u81e8\u5e8a\u61c9\u7528\uff1a<\/strong><\/p>\n<p>\u672c\u7814\u7a76\u767c\u73fe\u5165\u9662\u6642\u6e2c\u91cf\u7684\u8840\u6e05\u4e73\u9178\u6c34\u5e73 (lactate)\u53ef\u4ee5\u7576\u505a\u5f8c\u7e8c\u75c5\u60a3\u662f\u5426\u5bb9\u6613\u7f79\u60a3ICI \u7684\u9810\u6e2c\u56e0\u5b50\uff0c\u800c\u7576PPU\u75c5\u60a3\u5165\u9662\u8840\u6e05\u4e73\u9178\u503c\u8d85\u904e2.93 mmol\/L \u5373\u9700\u66f4\u52a0\u6ce8\u610f\u5f8c\u7e8cICI\u7684\u53ef\u80fd\u6027 (AUC was 0.68); \u53e6\u5916\uff0c\u624b\u8853\u5f8c\u9700\u9032\u5165\u52a0\u8b77\u75c5\u623f\u7167\u8b77\u7684PPU\u91cd\u75c7\u60a3\u8005\uff0c\u5018\u82e5\u5b58\u5728\u809d\u786c\u5316\u7b49\u5171\u75c5\u6216\u6709\u8f03\u9ad8\u7684\u9023\u7e8c\u5668\u5b98\u8870\u7aed\u8a55\u4f30 (SOFA)\u8a55\u5206\uff0c\u53ef\u80fd\u6703\u8207\u4e0d\u826f\u9810\u5f8c\u76f8\u95dc\u3002\u4e0a\u8ff0\u767c\u73fe\uff0c\u53ef\u4ee5\u8b93\u7167\u8b77\u8005\u5728\u7167\u9867\u6b64\u985e\u75c5\u60a3\u6642\uff0c\u66f4\u5bb9\u6613\u8b58\u5225\u9ad8\u5371\u75c5\u60a3\uff0c\u4e26\u53ef\u4ee5\u63d0\u65e9\u505a\u597d\u76f8\u95dc\u6e96\u5099\u63aa\u65bd\uff0c\u9032\u4e00\u6b65\u63d0\u9ad8\u6574\u9ad4\u7167\u8b77\u54c1\u8cea\u3002<\/p>\n<p><!--more--><\/p>\n<p><strong><a href=\"https:\/\/web.csh.org.tw\/web\/csh\/wp-content\/uploads\/2020\/07\/2022-1-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-24622\" src=\"https:\/\/web.csh.org.tw\/web\/csh\/wp-content\/uploads\/2020\/07\/2022-1-1.jpg\" alt=\"\" width=\"720\" height=\"960\" \/><\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>1.\u7814\u7a76\u7d50\u679c\uff1a \u767d\u8272\u5ff5\u73e0\u83cc\u662f\u4fb5\u8972\u6027\u5ff5\u73e0\u83cc\u611f\u67d3 (ICI)\u7684\u4e3b\u8981\u75c5\u539f\u9ad4\uff0874.29%\uff09\u3002\u88ab\u611f\u67d3\u4e4b\u5f8c\uff0c\u60a3\u8005\u4f75\u767c\u83cc\u8840 [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[4],"tags":[],"class_list":["post-9438","post","type-post","status-publish","format-standard","hentry","category-4"],"_links":{"self":[{"href":"https:\/\/web.csh.org.tw\/web\/csh\/index.php?rest_route=\/wp\/v2\/posts\/9438"}],"collection":[{"href":"https:\/\/web.csh.org.tw\/web\/csh\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/web.csh.org.tw\/web\/csh\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/csh\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/csh\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9438"}],"version-history":[{"count":3,"href":"https:\/\/web.csh.org.tw\/web\/csh\/index.php?rest_route=\/wp\/v2\/posts\/9438\/revisions"}],"predecessor-version":[{"id":24623,"href":"https:\/\/web.csh.org.tw\/web\/csh\/index.php?rest_route=\/wp\/v2\/posts\/9438\/revisions\/24623"}],"wp:attachment":[{"href":"https:\/\/web.csh.org.tw\/web\/csh\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9438"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/csh\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=9438"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/web.csh.org.tw\/web\/csh\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=9438"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}