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child classification
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  child分类
     Method By using child (Child' classification)as reference,applying the clinical materials of 37 cases of posthepatitis cirrhosis to seven classifications.
     方法应用7种以Child分类为基础的肝功能评估方法,对37例乙肝肝硬化患者病历资料进行评估。
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  相似匹配句对
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     Child classification can help predict the prognosis.
     child-pugh 分级、并发症与预后相关性显著。
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     A Review of the Studies on the Development of Child Classification Ability
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     "FIRE CHILD"
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  child classification
Among patients with cirrhosis, prognosis was dependent upon the Child classification (P=0.001).
      
These two subgroups were comparable with regard to age, prothrombin time, serum albumin, serum total bilirubin concentrations, Child classification, and preoperative ABT.
      
According to the Child classification, 8 patients were class A, 19 were class B, and 25 were class C.
      
According to the Child classification they were divided up into nine Child A, 21 Child B and five Child C cases.
      
Recipient factors included Child classification, preoperative gastrointestinal (GI) bleeding, mechanical ventilation, hemodialysis, and requirement for catecholamines.
      
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Computer imaging analytic technique and ultrasonic Doppler were used to evaluate the liver volume and the portal blood flow in normal subjects and the subjects with cirrhostic portal hypertension.The relations among liver volume,hepatic function and portal blood flow was researched.In addition,the portal hemodynamic changes before and after combined portozygos disconnection were observed.The results showed that the liver volume decreased(P<0.05),the diameter of portal main trunk significantly decreased(P<0.01),the...

Computer imaging analytic technique and ultrasonic Doppler were used to evaluate the liver volume and the portal blood flow in normal subjects and the subjects with cirrhostic portal hypertension.The relations among liver volume,hepatic function and portal blood flow was researched.In addition,the portal hemodynamic changes before and after combined portozygos disconnection were observed.The results showed that the liver volume decreased(P<0.05),the diameter of portal main trunk significantly decreased(P<0.01),the portal blood velocity slowed(P< 0.05),the portal blood flow growed(P<0.05)and PVF/LV significantly inereased(P<0.01)in the subjects with the cirrhostic portal hypertension.The decrease of liver volume and increase of PVF/ LV were remarkable in the cirrhostic patients with Child classification B.After an operation,the decrease of portal main trunk diameter,the slow of portal blood velocity and the reduction of the portal blood flow were significantly observed.During the following 4~18 months,the portal blood flow gradually recovered and was close to the level of the portal blood flow before the operation.

本文采用计算机图像分析技术和超声多普勒检测了正常者和肝硬变门脉高压症(CPH)患者肝脏体积和门静脉血流,研究了肝脏体积、功能与门静脉血流变化的关系以及联合门奇断流术前、后门静脉血流的变化。结果示 CPH 患者肝脏体积缩小(P<0.05)、门静脉主干内径增宽(P<0.01)、流速减慢(P<0.05)、血流量增大(P<0.05)、PVF/LV 显著增加(P<0.01),肝脏体积缩小和 PVF/LV 增加以 Child B 级患者最为明显;联合门奇断流术后门静脉主干内径明显缩小(P<0.01)、流速显著减慢(P<0.01)、血流量显著减少(P<0.01);术后4~18个月随访,门静脉血流逐渐恢复,接近手术前水平。

The splenorenal shunt combined with pert-cardial devascularization were performed in 8 patients since September 1991 to April 1992. All the patients were males, aged from 18 to 41 (average 32.2). The hepatic function were all A degreeaccording to Child classification criteria.Doppler examination before operation showed portal blood inflow to be 747 to1320 ml·min-1 (average 1050 ml· min-1 ).FPP were 3. 5~4. 2 kpa (average 3. 8 kpa)after laparotomy, 2. 5 ~ 3. 5 kpa (average 2. 9 kpa) after splenectomy and...

The splenorenal shunt combined with pert-cardial devascularization were performed in 8 patients since September 1991 to April 1992. All the patients were males, aged from 18 to 41 (average 32.2). The hepatic function were all A degreeaccording to Child classification criteria.Doppler examination before operation showed portal blood inflow to be 747 to1320 ml·min-1 (average 1050 ml· min-1 ).FPP were 3. 5~4. 2 kpa (average 3. 8 kpa)after laparotomy, 2. 5 ~ 3. 5 kpa (average 2. 9 kpa) after splenectomy and 2. 5~ 3. 5kpa (average 2. 8 kpa ) after splenorenal shunt.Follow-up time ranged from 24 to 42mon. All patients returned to normal work after operation. Nearly none had esophageal varicosis after operation except one patient with mild varicosis. Doppler examination showed that blood could flow pass though the anastomosis in all cases.

从1991年9月~1992年4月共为8例病人进行了脾肾分流加贲门周围血管离断术,8例均为男性,年龄18~41a,平均32.2a.本组8例肝功Child分级均A级,术前脉冲多普勒B超检查门静脉向肝血流量747~1320ml·min-1.平均1050ml·min-1.术中测FPP为3.5~4.2kPa,平均3.8kPa.切脾后门静脉压为2.5~3.5kPa,平均2.9kPa,分流和断流后门静脉压2.5~3.5kPa.平均2.8kPa.全组病例随访24~42mon,8例均能参加正常工作.除1例有轻食道静脉曲张外,其余7例食道静脉曲张均消失,多普勒B超检查脾肾吻合口均通畅.

Eighty-two cases ill with ascites due to cirrhosis and with hyponatremia were analysed, and among them, 35 cases' blood sodium levels were 131 ~ 135mmol/L, 27 Casesl were 126 ~ 130 mmol/L, 20casesl≤125mmol/L. The results show that hyponatremia has relations with the child classification renal function and prognsis(P<0. 001 ~P<0. 02) In addition, complication also influences prognosis (P<0. 01). The occurrenee of hyponatremia is usually due to the unsuitable treatment; and the acute hyponatremic syndrome...

Eighty-two cases ill with ascites due to cirrhosis and with hyponatremia were analysed, and among them, 35 cases' blood sodium levels were 131 ~ 135mmol/L, 27 Casesl were 126 ~ 130 mmol/L, 20casesl≤125mmol/L. The results show that hyponatremia has relations with the child classification renal function and prognsis(P<0. 001 ~P<0. 02) In addition, complication also influences prognosis (P<0. 01). The occurrenee of hyponatremia is usually due to the unsuitable treatment; and the acute hyponatremic syndrome is in relation to matalve discharg-ing ascitic fluid on the basis of diuresis. The infusion of 3% sodium chloride can be ued to treat acuto hyponatremic syndrome and severe hyponatremta.

 对82例肝硬化腹水并低钠血症病人进行了分析,血钠131~135mmol/L者35例,126~130mmol/L者27例,≤125mmol/L者20例。低钠血症与Child分级和肾功能及预后相关(P<0.001~P<0.02),并发症也影响预后(P<0.01)。低钠血症的发生常与治疗不当有关。急性低钠综合征多与利尿基础上大量放腹水有关。3%氧化钠输注可用于急性低钠综合征及严重低钠血症患者。

 
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