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应用自行设计的记分法对７２３例流行性出血热（ＥＨＦ）低血压休克患者进行难治性休克早期诊断试验（６１０例行回顾性诊断，１１３例行前瞻性诊断），并以标准诊断法确诊结果为金标准，按国际公认的ＤＭ模式处理。结果显示，在低血压或休克发生后４小时，记分法诊断的敏感性为８４．８９％、特异性１００％、符合率９７．０９％、假阳性率０％、假阴性率１５．１０％、诊断指数８４．８９％；８小时诊断的敏感性为９７．８４％、特异性为１００％、符合率９９．５８％、假阳性率０％、假阴性率２．１６％、诊断指数９７．８４％。表明记分法可早期有效地诊断ＥＨＦ难治性休克，并对指导治疗、估计预后、评价疗效和降低病死率均有重要意义
723 patients with epidemic hemorrhagic fever (EHF) hypotension shock were diagnosed early by intractable shock (610 retrospectively diagnosed and 113 prospectively diagnosed) by self-designed scoring method and diagnosed by standard diagnostic method The result is the gold standard, according to the internationally recognized DM mode. The results showed that the diagnostic sensitivity of scoring method was 84.89%, specificity 100%, coincidence rate 97.09%, false positive rate 0%, false negative rate 15.10% 4 hours after hypotension or shock. , The diagnostic index was 84.89%. The diagnostic sensitivity at 8 hours was 97.84%, the specificity was 100%, the coincidence rate was 99.58%, the false positive rate was 0%, the false negative rate was 2.16%, and the diagnostic index was 97 .84%. It shows that scoring method can diagnose EHF refractory shock early and effectively, and is of great significance for guiding the treatment, estimating the prognosis, evaluating the curative effect and reducing the mortality rate