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96

Приложение 1.

Шкала клинической оценки инфекции лѐгких (CPIS)

Показатель

Число баллов

 

 

Температура

 

 

 

> 36,5 C или < 38,4 C

0

 

 

> 38,5 C или < 38,9 C

1

 

 

> 39,0 C или < 36,0 C

2

 

 

Число лейкоцитов крови (в мм3)

 

 

 

> 4000 или < 11000

0

 

 

< 4000 или > 11000

1 + 1 (при наличии

 

юных форм > 50%)

 

 

Трахеальный секрет

 

 

 

Отсутствие трахеального секрета

0

 

 

Наличие негнойного трахеального секрета

1

 

 

Наличие гнойного трахеального секрета

2

 

 

Оксигенация (PaO2/FiO2, мм рт. ст.)

 

 

 

> 240 или отсутствии ОРДС (диагноз ОРДС ставится

0

при соотношении PaO2/FiO2 < 200 или при давлении

 

заклинивания в лѐгочной артерии < 18 мм рт. ст. и

 

наличии двусторонних очагов инфильтрации)

 

 

 

< 240 и наличие ОРДС

2

 

 

Приложение 1 (продолжение)

97

 

 

 

 

 

Рентгенография органов грудной клетки

 

 

 

 

Отсутствие инфильтратов

 

0

 

 

 

Очаговый инфильтрат

 

1

 

 

 

Диффузный инфильтрат

 

2

 

 

 

Прогрессирование процесса в лѐгких

 

 

 

Отсутствие рентгенографического прогрессирования

 

0

 

 

 

Рентгенографическое прогрессирование (после

 

2

исключения ОРДС и застойной сердечной

 

 

недостаточности)

 

 

 

 

 

Культуральное исследование трахеального аспирата

 

 

 

Малое количество патогенных (преобладающих)

 

0

бактерий или отсутствие роста

 

 

 

 

 

Умеренное или значительное количество патогенных

 

1 + 1 (при наличии

(преобладающих) бактерий

 

аналогичных

 

 

бактерий при окраске

 

 

по Граму)

 

 

 

Общая сумма

 

 

 

 

 

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