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目的:比较高原地区13C-美沙西丁呼气实验定量肝硬化分级与临床Child-pugh分级一致性。方法:肝硬化患者83例和非肝硬化患者41例进行13C-美沙西丁实验结果与临床Child-pugh分级比较。结果:83例肝硬化患者临床Child-pugh分级与13C-美沙西丁呼气实验定量肝硬化分级严重不符,13C判定肝功能分级高于Child-pugh分级率高达55.42%。结论:13C-美沙西丁呼气实验定量肝硬化分级测定标准在高原缺氧地区不适用。
OBJECTIVE: To compare the 13C-methacetin breath test in the plateau with quantitative liver cirrhosis classification and clinical Child-pugh classification consistency. Methods: 83 patients with cirrhosis and 41 patients with non-cirrhosis were compared with 13C-methacetin test results and clinical Child-pugh classification. Results: The clinical grade of Child-pugh in 83 patients with cirrhosis was significantly different from that of quantitative 13C-methacetin breath test. The grade of 13C was higher than that of Child-pugh by 55.42%. Conclusion: 13C-methacetin breath expiration quantitative liver cirrhosis grading standards in the plateau anoxic areas do not apply.