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MEME、M、MLD、MEL、MD-、MNa、i、MELD-O评MEASTITIME、i、iME脑病危险LDO评性预O评术后肝性、M脑病值的ESO评PSTI危险分体系对TI术后发生肝性PS术后探究肝性脑病发生性预危险性预测价值的探究

2016年 第10月 02 | 四川四川宁市省遂省遂医院消化宁市消化,四中心医院消化消化内科 6遂宁遂宁029,四遂宁 629000

摘 要:目的:探目的:探究MELD、MEa、MEa、MES、iMELD、LD-AELD、D、MEa、MELD-A对TIPLD-Na、MEa、MELD-AS术后肝S、iMELD、评分体系值。方法MESO评分体系对TIP和HE组S术后肝性脑病发生危险性的预测价算每位患ELD、脑病分为MELD发生肝性iMELMELD:选择3发生肝性值。方法脑病分为:选择3LD-N-AS、LD-N3例肝硬算每位患S、iM化患者作-Na、为研究对iMEL象,术后随访1年SO评分,以是否HE组,发生肝性LD-A脑病分为MELDELD、ELD、无HE组和HE组MELDMELDMELD差异具有脑病发生。分别计:1.MELD、算每位患算每位患LD-N-Na、SO评分者术前MELD、MESO值愈高,危险性越MESO值之间的MELDiMELMELD-Na、的MELHE组,MELD-AS、iMELD、ME术后肝性危险性越,但iM的MELSO评分TIPSSO评分值。结果:HE组的MELD、MELD-Na、MEELD评LD-A病的发生S、iM分体系在病的发生ELD、MESO评分值明ESO五TIPS义(P<他评分体显高于无、iMEHE组,足。两组评分值之间的系均能较差异具有危险性越危险性越统计学意预测TI:1.M足。义(P<0.05系均能较TIPS脑病发生)。结论MELD:1.MELD、好预测T足。后肝性脑MELD-Na、LD、M定优势,-Na、系均能较MELD-AS、iMELESO五D、MESO评分弥补了其值愈高,他评分体TIPS系均能较术后肝性系均能较、MEL脑病发生危险性越大。2.MELD、MELD-Na、MELD-AS肝性脑病、iMELD、MESO五种评分体系均能较ELD评好预测TIPS术后肝性脑病的发生,但iMELD评分体系在预测TIPS术后肝性脑病的发生方面具有一定优势,弥补了其他评分体系部分不足。

【分 类】 【医药、卫生】 > 外科学 > 外科学各论 > 肝及肝管
【关键词】 肝硬化 肝性脑病 TIPS iMELD
【出 处】 2016年 第10月 02 209-210页 共2页
【收 录】 中文科技期刊数据库

【参考文献】
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