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目的:研究Child-Pugh分级对失代偿期肝硬化预后的预测价值。方法:对34例死于失代偿期肝硬化患者进行回顾性分析,应用Child-Pugh分级对初次入院资料进行评分及分级,并计算初次入院至死亡的时间。结果:Child-Pugh分级A级生存时间56.2±24.7月、B级33.1±10.5月、C级12.6±9.6月;以上消化道出血为主要表现的患者,生存时间相对非出血者低(P<0.05)。结论:Child-Pugh分级可做为预测失代偿期肝硬化患者的生存时间的重要的客观指标。而是否伴有上消化道出血对生存时间有较大的影响;上腹部增强CT对失代偿期肝硬化患者有无肝肾分流等侧支循环的评估有助于出血风险的判断。
Objective: To investigate the prognostic value of Child-Pugh classification for the prognosis of decompensated cirrhosis. Methods: A retrospective analysis was performed on 34 patients with decompensated cirrhosis. Child-Pugh grading was used to grade and classify the data of initial admission and to calculate the time from initial admission to death. Results: The Child-Pugh grade A survival time was 56.2 ± 24.7 months, grade B was 33.1 ± 10.5 months, grade C was 6.6 ± 9.6 months. Patients with above-mentioned gastrointestinal bleeding had lower survival time than those without bleeding (P <0.05) ). Conclusion: Child-Pugh grading can be used as an important objective index to predict the survival time of patients with decompensated cirrhosis. Whether or not accompanied by upper gastrointestinal bleeding have a greater impact on survival time; upper abdominal enhanced CT in patients with decompensated cirrhosis of liver and kidney shunt and other collateral circulation assessment contribute to the judgment of the risk of bleeding.