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1963年Child设计了对肝硬化患者肝功能代偿能力的评估方法,即Child分类。在临床应用中相继有人对其作过修定与改进。现简要对比评价如下: 1 Child分类及其应用评价,见表1 由于Child分类简单易行,除用预测门脉手术的预后及估计肝脏储备功能外,也用于肝硬化患者的预后估计,肝叶切除术前肝功的评估和非肝原因手术的肝硬化患者术前预测等多个方面。但是,在Child分类中除血清胆红质(Bil)及白蛋白(AIb)外,
In 1963 Child designed a method of assessing liver function compensatory capacity in patients with cirrhosis, the Child classification. Has been revised in clinical application and improvement. A brief comparison and evaluation are as follows: 1 Child classification and evaluation of its applications, as shown in Table 1 Because Child classification is simple, in addition to the prognosis of portal vein surgery and estimation of liver reserve function, but also for the prognosis of patients with liver cirrhosis, liver Assessment of liver function before resection and preoperative prediction of patients with cirrhosis without liver surgery. However, in the Child classification, in addition to serum bilirubin (Bil) and albumin (AIb)