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１４１例ＩＣＵ患者于入ＩＣＵ第１、３、７天同时作我国的小儿危重评分、国外的小儿死亡危险（ＰＲＩＳＭ）评分及评估器官系统功能衰竭情况。小儿危重评分与ＰＲＩＳＭ评分和器官系统功能衰竭呈高度负相关。存活和死亡组的小儿危重评分、ＰＲＩＳＭ评分，在入ＩＣＵ的１、３、７天均有非常显著的差异。将小儿危重评分从高至低分为～１００、～８０、～７０三组，代表病情非危重、危重、极危重，将ＰＲＩＳＭ评分从低至高分为０～、１１～、２１～三组，代表死亡危险低、中、高，二种评分各组间ＩＣＵ病死率均有显著的差异（Ｐ＜０００１）。小儿危重评分越低，发生器官系统功能衰竭的越多，ＭＳＯＦ发生率越高（Ｐ＜０００１），存活和死亡组间，小儿危重评分与发生脏器功能衰竭的数目有非常显著的差异（Ｐ＜０００１）。提示：小儿危重评分和ＰＲＩＳＭ评分均可客观、有效地评估病情和预后，小儿危重评分与系统器官功能衰竭评估着重点不同，二者各有优势，在评估病情与预后上，可以互补。
141 cases of ICU patients in the ICU 1,3,7 days into the same time for our pediatric critical mass score, risk of pediatric death abroad (PRISM) score and assessment of organ failure. Children’s critical score was highly negatively correlated with PRISM score and organ system failure. In the survival and death groups, the critical score of children and the PRISM score had very significant differences at 1, 3 and 7 days after entering the ICU. The scores of critical illness in children were divided into three groups of ~ 100, ~ 80 and ~ 70 from high to low, which means the patients were non-critically, critically and critically ill. The PRISM scores were divided into 0 ~, 11 ~, 21 ~ There was a significant difference in the mortality rate of ICU among the two groups (P <0001), which indicated that the risk of death was low, middle and high. The lower the critical score in children, the more organ system failure occurred, the higher the incidence of MSOF (P <0001). There was a significant difference in the number of children with critical illness and organ failure (P <0001). It is suggested that the critically ill children’s score and the PRISM score can evaluate the condition and prognosis objectively and effectively. The critical score of pediatric criterias is different from that of systemic organ failure assessment. Both of them have their own advantages and can complement each other in assessing the condition and prognosis.