终末期肝病模型及Child—Pugh分级对失代偿期.pdfVIP

114 终末期肝病模型及Child—Pugh分级对失代偿期 肝硬化患者的预后分析 占国清，郑三菊，朱琳，王崇慧，李金科，张薇薇 (郧阳医学院附属人民医院肝病研究所，湖北十堰442000) 【摘要】目的探讨终末期肝病模型(MELD)及Child—Push评分对失代偿期肝硬化预后评估的应用价值。方 患者短期预后，MELD评分短期评估优于Child—Pu曲分级。 【关键词】失代偿期肝硬化；MELD评分；Child—Pugll分级；预后 【中图分类号】R575．2 【文献标识码】A 【文章编号】1001—5256(2009)02一0114一03 The of of 1】I，ith Hvercirrhosisthecriterionofthemodelforend— analysisprognosispafientsdecompensatedusing liverdiseaseand ZHANG stage Child—Pughgrading San—ju，ZHULin，et of Guo—qing，ZHENG aL(Department Medical Hepatology，People College，Shiyan442000，China) Hospitol，Yunyang To the valueoftheModelfor Liver Child— Abstract：Objectlveinvestigate End—stageDisease(MELD)and prognosis in with livercirrhosis．Methods136 with livercirrhosis Push patientsdecompensated grading patientsdecompensated were withMELDformulaandwith the valuewere 19．85％and graded Child—Pugh，and compared．Results prognosis 33．82％ofthediedwithinthreeandsixmonthterra and scorefordeathswere Child—Push respectively，MELD higher thanthoseforsurvivors undertheROCofMELDwas thanthatof for significantly(Po．001)．Area higher Child—Push threemonth showedMELDand could discriminatebe— term(P0．05)．Survival Child—PIlghgrading analysis clearly tween whosurvivedordiedinsixmonth valueshad