StableVersion4.3/HL_FristAidPlatform_ChestPain/CalculateGraceScore.cs

using System;

namespace HL_FristAidPlatform_ChestPain
{
    /// <summary>
    /// 计算 Grace分值
    /// </summary>
    public static class CalculateGraceScore
    {
        /// <summary>
        /// 计算分值
        /// </summary>
        /// <param name="systolicPressure">收缩压</param>
        /// <param name="creatinine">肌酐</param>
        /// <param name="age">年龄</param>
        /// <param name="heartRate">心率</param>
        /// <param name="isSTChange">ST段变化</param>
        /// <param name="isSuddenCardiacSrrest">入院时心脏骤停</param>
        /// <param name="isMyocardialNecrosis">心肌坏死标志物升高</param>
        /// <param name="killipClassification">killip分级</param>
        /// <returns></returns>
        public static int CalculateScore(int systolicPressure, decimal creatinine, int age, int heartRate, bool isSTChange, bool isSuddenCardiacSrrest, bool isMyocardialNecrosis, int killipClassification)
        {
            int Score = 0;

            #region 年龄
            if (age < 30)
            {
                Score += 0;
            }
            if (age >= 30 && age <= 39)
            {
                Score += 8;
            }
            else if (age >= 40 && age <= 49)
            {
                Score += 25;
            }
            else if (age >= 50 && age <= 59)
            {
                Score += 41;
            }
            else if (age >= 60 && age <= 69)
            {
                Score += 58;
            }
            else if (age >= 70 && age <= 79)
            {
                Score += 75;
            }
            else if (age >= 80)
            {
                Score += 91;
            }
            #endregion

            #region 心率
            if (heartRate < 50)
            {
                Score += 0;
            }
            else if (heartRate >= 50 && heartRate <= 69)
            {
                Score += 3;
            }
            else if (heartRate >= 70 && heartRate <= 89)
            {
                Score += 9;
            }
            else if (heartRate >= 90 && heartRate <= 109)
            {
                Score += 15;
            }
            else if (heartRate >= 110 && heartRate <= 149)
            {
                Score += 24;
            }
            else if (heartRate >= 150 && heartRate <= 199)
            {
                Score += 38;
            }
            else if (heartRate >= 200)
            {
                Score += 46;
            }
            #endregion

            #region 收缩压
            if (systolicPressure < 80)
            {
                Score += 58;
            }
            else if (systolicPressure >= 80 && systolicPressure <= 99)
            {
                Score += 53;
            }
            else if (systolicPressure >= 100 && systolicPressure <= 119)
            {
                Score += 43;
            }
            else if (systolicPressure >= 120 && systolicPressure <= 139)
            {
                Score += 34;
            }
            else if (systolicPressure >= 140 && systolicPressure <= 159)
            {
                Score += 24;
            }
            else if (systolicPressure >= 160 && systolicPressure <= 199)
            {
                Score += 10;
            }
            else if (systolicPressure >= 200)
            {
                Score += 0;
            }
            #endregion

            #region 肌酐
            //单位转换 umol/L转为mg/dl方式：umol/L*0.01131
            double Cur_creatinine = HL_FristAidPlatform_Public.PublicClass.ToDouble(creatinine, 0) * 0.01131;
            Cur_creatinine = Math.Round(Cur_creatinine, 2);
            if (Cur_creatinine > 0 && Cur_creatinine <= 0.39)
            {
                Score += 1;
            }
            else if (Cur_creatinine >= 0.4 && Cur_creatinine <= 0.79)
            {
                Score += 4;
            }
            else if (Cur_creatinine >= 0.8 && Cur_creatinine <= 1.19)
            {
                Score += 7;
            }
            else if (Cur_creatinine >= 1.2 && Cur_creatinine <= 1.59)
            {
                Score += 10;
            }
            else if (Cur_creatinine > 1.6 && Cur_creatinine <= 1.99)
            {
                Score += 13;
            }
            else if (Cur_creatinine >= 2.0 && Cur_creatinine <= 3.99)
            {
                Score += 21;
            }
            else if (Cur_creatinine > 4)
            {
                Score += 28;
            }
            #endregion

            #region killip分级
            //Killip分级 1：I级(no CHF)；2：II级(rales and / or JVD)；3：III级(pulmonary edema)；4：IV级(cardiogenic shock)
            if (killipClassification == 1)
            {
                Score += 0;
            }
            else if (killipClassification == 2)
            {
                Score += 20;
            }
            else if (killipClassification == 3)
            {
                Score += 39;
            }
            else if (killipClassification == 4)
            {
                Score += 59;
            }
            #endregion

            #region 入院时心脏骤停
            if (isSuddenCardiacSrrest)
            {
                Score += 39;
            }
            else
            {
                Score += 0;
            }
            #endregion

            #region ST段变化
            if (isSTChange)
            {
                Score += 28;
            }
            else
            {
                Score += 0;
            }
            #endregion

            #region 心肌坏死标志物升高
            if (isMyocardialNecrosis)
            {
                Score += 14;
            }
            else
            {
                Score += 0;
            }
            #endregion

            return Score;
        }
    }
}