Giá trị của chỉ số MELD trong đánh giá độ nặng và tiên lượng ở bệnh nhân xơ gan

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Tác giả: Trọng Thảng Hoàng, Thị Bình Minh Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 616.975075 Other diseases

Thông tin xuất bản: Gan mật Việt Nam, 2014

Mô tả vật lý: 25-33

Bộ sưu tập: Metadata

ID: 505698

 Background: Cirrhosis is an end stage and severe complicated condition of many liver diseases. However, in applied clinical activities the prognosis of cirrhosis is sometime not easy. Because ofthe scarcity of donor organs (including liver graft), it is necessary to predict mortality risk to reduce number of patients in waiting list. The model for end stage liver disease (MELD) has been show to more accurately predict the servival. Aim: To survey MELD score and evaluate the relation between MELD score and mortality rate for first 7 days in hospital, some related factors, CTP degree and some complications in decompensated cirrhotic patients. Patients and methods: from 5/2011 to 7/2012 about 164 decompensated cirrhotic patients who examed and treated department of gastroenterology and hepatology, Hue central hospital. The dianogsis of decompensated cirrhosis was based on history, clinical examination, serum test, ultrasonography, upper OI endoscopy. Method: follow-up cross-sectional study. Result: the mean MELD score was 17,01 +/- 7,56
  there were no significant differences in gender, age groups. the mean MELD score had significantly higher among patients who died for first 7 days in hospital when compared to those who survived (34,86 +/- 8,17 vs 16,22 +/- 6,49, p 0,001). MELD score had positive correlation with CTP (r
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