Guest guest Posted December 9, 2008 Report Share Posted December 9, 2008 I didn't know at all and just now was able to find out.TABLE 3 Grading Liver Function Using the Child-Turcotte Class as Modified by Pugh* ---------------------------------------------------------------------- ---------- Points ---------------------------------------------------------------------- ---------- Feature ---------------------------------------------------------------------- ---------- 0 ---------------------------------------------------------------------- ---------- 1 ---------------------------------------------------------------------- ---------- 2 ---------------------------------------------------------------------- ---------- Albumin More than 3.5 g per dL (35 g per L) 2.8 to 3.5 g per dL (28 to 35 g per L) Less than 2.8 g per dL (28 g per L) Bilirubin Less than 2 mg per dL (34 µmol per L) 2 to 3 mg per dL (34 to 51 µmol per L) More than 3 mg per dL Prolongation of prothrombin time Less than 4 seconds 4 to 6 seconds More than 6 seconds Ascites None Controlled Refractory Encephalopathy None Controlled Refractory ---------------------------------------------------------------------- ---------- *--The Child-Turcotte class, as modified by Pugh, often known simply as the " Child class, " is calculated by adding the points as determined by the patient's laboratory results: class A=0 to 1; class B=2 to 4; class C=5 and higher. The classes indicate severity of liver dysfunction: class A is associated with a good prognosis, and class C is associated with limited life expectancy. Ascites and encephalopathy are graded as " none, " " controlled with routine medical therapy " or " refractory to medical therapy. " Adapted with permission from Pugh RN, Murray-Lyon IM, Dawson JL, Pietroni MC, R. Transection of the oesophagus for bleeding oesophageal varices. Br J Surg 1973;60:646-9. Grading Liver Function Quote Link to comment Share on other sites More sharing options...
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