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Child-Pugh score : ウィキペディア英語版 | Child-Pugh score In medicine (gastroenterology), the Child-Pugh score (sometimes the Child-Turcotte-Pugh score) is used to assess the prognosis of chronic liver disease, mainly cirrhosis. Although it was originally used to predict mortality during surgery, it is now used to determine the prognosis, as well as the required strength of treatment and the necessity of liver transplantation. ==Scoring== The score employs five clinical measures of liver disease. Each measure is scored 1-3, with 3 indicating most severe derangement. Different textbooks and publications use different measures. Some older reference works substitute Prothrombin time (PT) prolongation for International normalized ratio (INR). In primary sclerosing cholangitis (PSC) and primary biliary cirrhosis (PBC), the bilirubin references are changed to reflect the fact that these diseases feature high conjugated bilirubin levels. The upper limit for 1 point is 68 μmol/l (4 mg/dl) and the upper limit for 2 points is 170 μmol/l (10 mg/dl).
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