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Status\uff09\u3002\u5728\u533b\u5b66\u4e0a\uff0c\u4f53\u529b\u72b6\u6001\u8bc4\u5206\u7528\u6765\u91cf\u5316\u764c\u75c7\u60a3\u8005\u603b\u4f53\u5e78\u798f\u611f\u548c\u65e5\u5e38\u751f\u6d3b\u6d3b\u52a8\u72b6\u6001\u3002\u8fd9\u9879\u63aa\u65bd\u662f\u7528\u6765\u786e\u5b9a\u4ed6\u4eec\u662f\u5426\u53ef\u4ee5\u63a5\u53d7\u764c\u75c7\u6cbb\u7597\uff08\u4f8b\u5982\u5316\u7597\uff09\uff0c\u662f\u5426\u6709\u5fc5\u8981\u8c03\u6574\u5242\u91cf\uff0c\u5e76\u4f5c\u4e3a\u4e00\u9879\u8861\u91cf\u6240\u9700\u5f3a\u5ea6\u7684\u59d1\u606f\u6cbb\u7597\u3002\u5b83\u4e5f\u88ab\u7528\u4e8e\u80bf\u7624\u968f\u673a\u5bf9\u7167\u8bd5\u9a8c\uff0c\u4f5c\u4e3a\u60a3\u8005\u751f\u6d3b\u8d28\u91cf\u7684\u4e00\u79cd\u8861\u91cf\u6807\u51c6\u3002<\/p>\n<p>ECOG\u4f53\u529b\u72b6\u6001\u8bc4\u5206\u5728\u4e34\u5e8a\u6cbb\u7597\u51b3\u7b56\u3001\u9884\u540e\u9884\u6d4b\u548c\u4e34\u5e8a\u8bd5\u9a8c\u4e2d\u5f97\u5230\u5e7f\u6cdb\u5e94\u7528\u3002\u5b83\u4ece\u75c5\u4eba\u7167\u987e\u81ea\u5df1\u7684\u80fd\u529b\u3001\u65e5\u5e38\u6d3b\u52a8\u548c\u8eab\u4f53\u80fd\u529b\uff08\u884c\u8d70\u3001\u5de5\u4f5c\u7b49\uff09\u6765\u63cf\u8ff0\u75c5\u4eba\u7684\u529f\u80fd\u6c34\u5e73\u3002\u8be5\u8bc4\u5206\u7cfb\u7edf\u7531\u7f8e\u56fd\u4e1c\u90e8\u80bf\u7624\u534f\u4f5c\u7ec4\uff08ECOG\uff09\u5f00\u53d1\uff0c\u5c06\u60a3\u8005\u7684\u4f53\u529b\u72b6\u6001\u5206\u4e3a0-5\u51716\u4e2a\u7ea7\u522b\u3002\u5176\u4e2d\uff1a<\/p>\n<ul>\n<li>\n<p>PS\u4e3a0\uff1a\u6d3b\u52a8\u80fd\u529b\u5b8c\u5168\u6b63\u5e38\uff0c\u4e0e\u8d77\u75c5\u524d\u6d3b\u52a8\u80fd\u529b\u65e0\u4efb\u4f55\u5dee\u5f02\u3002<\/p>\n<\/li>\n<li>\n<p>PS\u4e3a1\uff1a\u80fd\u81ea\u7531\u8d70\u52a8\u53ca\u4ece\u4e8b\u8f7b\u4f53\u529b\u6d3b\u52a8\uff0c\u5305\u62ec\u4e00\u822c\u5bb6\u52a1\u6216\u529e\u516c\u5ba4\u5de5\u4f5c\uff0c\u4f46\u4e0d\u80fd\u4ece\u4e8b\u8f83\u91cd\u7684\u4f53\u529b\u6d3b\u52a8\u3002<\/p>\n<\/li>\n<li>\n<p>PS\u4e3a2\uff1a\u80fd\u81ea\u7531\u6d3b\u52a8\u53ca\u751f\u6d3b\u81ea\u7406\uff0c\u4f46\u5df2\u4e27\u5931\u5de5\u4f5c\u80fd\u529b\uff0c\u767d\u5929\u4e0d\u5c11\u4e8e\u4e00\u534a\u65f6\u95f4\u53ef\u4ee5\u8d77\u5e8a\u6d3b\u52a8\u3002<\/p>\n<\/li>\n<li>\n<p>PS\u4e3a3\uff1a\u751f\u6d3b\u4ec5\u80fd\u90e8\u5206\u81ea\u7406\uff0c\u534a\u5929\u4e00\u534a\u4ee5\u4e0a\u65f6\u95f4\u5367\u5e8a\u6216\u5750\u8f6e\u6905\u3002<\/p>\n<\/li>\n<li>\n<p>PS\u4e3a4\uff1a\u5367\u5e8a\u4e0d\u8d77\uff0c\u751f\u6d3b\u4e0d\u80fd\u81ea\u7406\u3002<\/p>\n<\/li>\n<li>\n<p>PS\u4e3a5\uff1a\u6b7b\u4ea1\u3002<\/p>\n<\/li>\n<\/ul>\n<p>\u901a\u5e38\u60c5\u51b5\u4e0b\uff0c\u4efb\u4f55PS\u8bc4\u5206\u5927\u4e8e2\uff08PS\u4e3a3\u62164\uff09\u7684\u764c\u75c7\u60a3\u8005\uff08\u65e0\u8bba\u764c\u75c7\u7c7b\u578b\u5982\u4f55\uff09\uff0c\u90fd\u4e0d\u5efa\u8bae\u63a5\u53d7\u4efb\u4f55\u5f62\u5f0f\u7684\u6fc0\u8fdb\u7684\u6297\u764c\u6cbb\u7597\uff0c\u5982\u6709\u5fc5\u8981\u53ef\u63d0\u4f9b\u59d1\u606f\u6216\u5bf9\u75c7\u6cbb\u7597\uff0c\u63d0\u5347\u60a3\u8005\u751f\u6d3b\u8d28\u91cf\u3002<\/p>\n<p>\u809d\u764c\u5df4\u585e\u7f57\u90a3\u5206\u671f\uff1aChild-Pugh\u8bc4\u5206\u7cfb\u7edf\uff08\u809d\u786c\u5316\u5206\u671f\u7cfb\u7edf\uff09<\/p>\n<p>Child-Pugh\u8bc4\u5206\u4e5f\u53ebCirrhosis Staging System\u809d\u786c\u5316\u5206\u671f\u7cfb\u7edf\uff0c\u6216Child-Pugh\u5206\u7c7b\u3001Child-Turcotte-Pugh\uff08CTP\uff09\u8ba1\u7b97\u5668\u548cChild\u6807\u51c6\u3002Child-Pugh\u8bc4\u5206\u662f\u4e00\u4e2a\u8bc4\u4f30\u6162\u6027\u809d\u75c5\uff08\u4e3b\u8981\u662f\u809d\u786c\u5316\uff09\u9884\u540e\u7684\u7cfb\u7edf\uff0c\u5305\u62ec\u6cbb\u7597\u6240\u9700\u7684\u5f3a\u5ea6\u548c\u809d\u79fb\u690d\u7684\u5fc5\u8981\u6027\u3002\u5b83\u53ef\u4ee5\u9884\u6d4b\u60a3\u8005\u809d\u810f\u75be\u75c5\u7684\u4e25\u91cd\u7a0b\u5ea6\u548c\u9884\u671f\u5b58\u6d3b\u7387\uff0c\u4e3a\u4e34\u5e8a\u533b\u751f\u63d0\u4f9b\u4e00\u4e2a\u80fd\u591f\u5ba2\u89c2\u5730\u4ea4\u6d41\u809d\u529f\u80fd\u7684\u7cfb\u7edf\u3002<\/p>\n<p>\u7ea680%\u7684\u809d\u764c\u60a3\u8005\u90fd\u6709\u809d\u786c\u5316\uff0c\u4e3a\u4e86\u6cbb\u7597\u809d\u764c\uff0c\u533b\u751f\u5fc5\u987b\u77e5\u9053\u809d\u810f\u7684\u529f\u80fd\u72b6\u6001\u3002Child-Pugh\u8bc4\u5206\u4e5f\u662f\u524d\u9762\u63d0\u5230\u7684BCLC\u548cCLIP\u5206\u671f\u7cfb\u7edf\u7684\u4e00\u90e8\u5206\u3002<\/p>\n<p>Child-Pugh\u8bc4\u5206\uff08\u809d\u786c\u5316\u5206\u671f\u7cfb\u7edf\uff09\u662f\u5982\u4f55\u786e\u5b9a\u7684\uff1f<\/p>\n<p>Child-Pugh\u8bc4\u5206\u662f\u901a\u8fc7\u5bf9\u809d\u75c5\u4e94\u9879\u4e34\u5e8a\u6307\u6807\u7684\u8bc4\u5206\u6765\u786e\u5b9a\u7684\u3002\u6bcf\u4e00\u9879\u6307\u6807\u7684\u5f97\u5206\u4e3a1\u30012\u62163\uff0c\u5176\u4e2d3\u5206\u6700\u4e3a\u4e25\u91cd\u3002<\/p>\n<p>\u8fd9\u4e2a\u8bc4\u5206\u7cfb\u7edf\u7814\u7a765\u4e2a\u4e34\u5e8a\u6307\u6807\uff0c\u5176\u4e2d\u524d3\u4e2a\u662f\u8840\u6db2\u6d4b\u8bd5\u7684\u7ed3\u679c\uff1a<\/p>\n<ul>\n<li>\n<p>\u8840\u6db2\u4e2d\u603b\u80c6\u7ea2\u7d20\u6c34\u5e73\uff1a\u8840\u7ea2\u86cb\u767d\u5206\u89e3\u80c6\u6c41\u4e2d\u7684\u9ec4\u8272\u5316\u5408\u7269\uff0c\u53ef\u5bfc\u81f4\u76ae\u80a4\u548c\u773c\u775b\u53d1\u9ec4\u7684\u7269\u8d28\uff08\u9ec4\u75b8\uff09<\/p>\n<\/li>\n<li>\n<p>\u8840\u6db2\u4e2d\u7684\u767d\u86cb\u767d\u6c34\u5e73\uff08\u901a\u5e38\u7531\u809d\u810f\u5236\u9020\u7684\u4e3b\u8981\u86cb\u767d\u8d28\uff09<\/p>\n<\/li>\n<li>\n<p>\u51dd\u8840\u9176\u539f\u65f6\u95f4\u3001\u5ef6\u957f\u65f6\u95f4\u6216INR\uff08\u6d4b\u91cf\u809d\u810f\u4ea7\u751f\u51dd\u8840\u56e0\u5b50\u7684\u7a0b\u5ea6\uff09\uff1a\u8840\u6db2\u51dd\u7ed3\u65f6\u95f4<\/p>\n<\/li>\n<li>\n<p>\u8179\u90e8\u662f\u5426\u6709\u79ef\u6db2\uff08\u8179\u6c34\uff09<\/p>\n<\/li>\n<li>\n<p>\u809d\u6027\u8111\u75c5\uff1a\u809d\u75c5\u662f\u5426\u5f15\u8d77\u8111\u529f\u80fd\u969c\u788d<\/p>\n<\/li>\n<\/ul>\n<p>\u4e0a\u8ff0\u6bcf\u4e2a\u6307\u6807\u90fd\u6709\u4e00\u4e2a\u5f97\u5206\uff0c\u5c06\u8fd9\u4e9b\u5206\u6570\u76f8\u52a0\u540e\uff0c\u6839\u636e\u603b\u5206\u5c06\u809d\u529f\u80fd\u5206\u4e3aA\u7ea7\u3001B\u7ea7\u6216C\u7ea7\u3002<\/p>\n<p>\u4e0b\u9762\u6211\u4eec\u89e3\u91ca\u4e00\u4e0b\u8fd95\u4e2a\u4e34\u5e8a\u6307\u6807\u5bf9\u5e94\u7684\u8bc4\u5206\u6807\u51c6\u3002<\/p>\n<p>1\u3001\u603b\u80c6\u7ea2\u7d20\uff0c\u5355\u4f4d\u03bcmol\/l(mg\/dl)<\/p>\n<ul>\n<li>\n<p>&lt;34\uff1a1\u5206<\/p>\n<\/li>\n<li>\n<p>34-50\uff1a2\u5206<\/p>\n<\/li>\n<li>\n<p>&gt;50\uff1a3\u5206<\/p>\n<\/li>\n<\/ul>\n<p>2\u3001\u8840\u6e05\u767d\u86cb\u767d\uff0c\u5355\u4f4dg\/l<\/p>\n<ul>\n<li>\n<p>&gt;35\uff1a1\u5206<\/p>\n<\/li>\n<li>\n<p>28-35\uff1a2\u5206<\/p>\n<\/li>\n<li>\n<p>&lt;28\uff1a3\u5206<\/p>\n<\/li>\n<\/ul>\n<p>3\u3001\u51dd\u8840\u9176\u539f\u65f6\u95f4\/INR<\/p>\n<ul>\n<li>\n<p>&lt;1.7\uff1a1\u5206<\/p>\n<\/li>\n<li>\n<p>1.7-2.3\uff1a2\u5206<\/p>\n<\/li>\n<li>\n<p>&gt;2.3\uff1a3\u5206<\/p>\n<\/li>\n<\/ul>\n<p>4\u3001\u662f\u5426\u51fa\u73b0\u8179\u6c34\u7684\u60c5\u51b5\uff1a\u5728\u5c31\u8bca\u65f6\uff0c20%\u523050%\u7684\u60a3\u8005\u6709\u8179\u6c34\u3002\u8179\u6c34\u662f\u7531\u809d\u786c\u5316\u7ee7\u53d1\u7684\u95e8\u9759\u8109\u9ad8\u538b\u3001\u80bf\u7624\u4fb5\u72af\u95e8\u9759\u8109\u6216\u809d\u9759\u8109\u3001\u76f4\u63a5\u4fb5\u72af\u8179\u819c\u6216\u8f6c\u79fb\u6027\u6269\u6563\u5f15\u8d77\u7684\u3002<\/p>\n<ul>\n<li>\n<p>\u65e0\u8179\u6c34\uff1a1\u5206<\/p>\n<\/li>\n<li>\n<p>\u8f7b\u5ea6\u8179\u6c34\uff1a2\u5206<\/p>\n<\/li>\n<li>\n<p>\u4e2d\u91cd\u5ea6\u8179\u6c34\uff1a3\u5206<\/p>\n<\/li>\n<\/ul>\n<p>5\u3001\u662f\u5426\u51fa\u73b0\u809d\u6027\u8111\u75c5\uff1a<\/p>\n<ul>\n<li>\n<p>\u65e0\uff1a1\u5206<\/p>\n<\/li>\n<li>\n<p>I-II\u7ea7\uff08\u6216\u836f\u7269\u63a7\u5236\uff09\uff1a2\u5206<\/p>\n<\/li>\n<li>\n<p>III-IV\u7ea7\uff08\u6216\u96be\u6cbb\u6027\uff09\uff1a3\u5206<\/p>\n<\/li>\n<\/ul>\n<p>\u7b80\u5355\u8bb2\u8bb2\u809d\u6027\u8111\u75c5\u3002\u809d\u6027\u8111\u75c5\u662f\u7531\u4e25\u91cd\u7684\u809d\u75c5\u5f15\u8d77\u7684\u8111\u529f\u80fd\u635f\u5bb3\uff0c\u809d\u6027\u8111\u75c5\u7684\u786e\u5207\u75c5\u56e0\u5c1a\u4e0d\u6e05\u695a\u3002\u7136\u800c\uff0c\u5b83\u901a\u5e38\u662f\u7531\u8840\u6db2\u4e2d\u6bd2\u7d20\u7684\u79ef\u7d2f\u89e6\u53d1\u7684\u3002\u809d\u810f\u4ece\u4f53\u5185\u6392\u51fa\u6709\u6bd2\u7684\u5316\u5b66\u7269\u8d28\uff0c\u6bd4\u5982\u6c28\u3002\u8fd9\u4e9b\u6bd2\u7d20\u5728\u86cb\u767d\u8d28\u4ee3\u8c22\u6216\u5206\u89e3\u65f6\u88ab\u9057\u7559\u4e0b\u6765\uff0c\u80be\u810f\u5c06\u8fd9\u4e9b\u6bd2\u7d20\u8f6c\u5316\u4e3a\u66f4\u5b89\u5168\u7684\u7269\u8d28\uff0c\u7136\u540e\u901a\u8fc7\u6392\u5c3f\u88ab\u79fb\u9664\u3002\u5f53\u809d\u810f\u53d7\u635f\u65f6\uff0c\u5b83\u65e0\u6cd5\u8fc7\u6ee4\u6389\u6240\u6709\u6bd2\u7d20\u3002\u6bd2\u7d20\u4f1a\u5728\u8840\u6db2\u4e2d\u79ef\u805a\u5e76\u6f5c\u5165\u5927\u8111\u5bfc\u81f4\u8111\u635f\u4f24\u3002\u6bd2\u7d20\u7684\u79ef\u805a\u4e5f\u4f1a\u635f\u5bb3\u5176\u4ed6\u5668\u5b98\u548c\u795e\u7ecf\u3002<\/p>\n<p>\u809d\u6027\u8111\u75c5\u662f\u5982\u4f55\u8bca\u65ad\u7684\uff1f<\/p>\n<p>\u6709\u51e0\u79cd\u68c0\u67e5\u88ab\u7528\u6765\u8bca\u65ad\u809d\u6027\u8111\u75c5\u3002\u5305\u62ec\u8840\u6db2\u68c0\u67e5\uff08\u7ea2\u7ec6\u80de\u8ba1\u6570\u4f4e\u3001\u8840\u6db2\u4e2d\u94a0\u3001\u94be\u548c\u6c28\u7684\u542b\u91cf\u9ad8\uff09\u3001\u5934\u90e8CT\u6216MRI\u68c0\u67e5\uff08\u8111\u90e8\u51fa\u8840\u6216\u5927\u8111\u5f02\u5e38\uff09\u3001\u809d\u529f\u80fd\u68c0\u67e5\uff08\u9176\u6c34\u5e73\u4e0a\u5347\uff09\u3002\u6709\u65f6\u60a3\u8005\u6240\u7ecf\u5386\u7684\u75c7\u72b6\u548c\u75c5\u53f2\u8db3\u4ee5\u8bca\u65ad\u809d\u6027\u8111\u75c5\u3002<\/p>\n<p>\u809d\u6027\u8111\u75c5\u6839\u636e\u75c7\u72b6\u7684\u4e25\u91cd\u7a0b\u5ea6\u5206\u4e3a\u4e0d\u540c\u7684\u9636\u6bb5\u3002\u5e38\u89c1\u7684\u5206\u7c7b\u7cfb\u7edf\u5305\u62ecWest Haven\u6807\u51c6\u548c\u683c\u62c9\u65af\u54e5\u660f\u8ff7\u7cfb\u6570GCS\u3002<\/p>\n<p>\u809d\u6027\u8111\u75c5\u7684\u4e0d\u540c\u9636\u6bb5\u662f\u4ec0\u4e48\uff1f<\/p>\n<p>\u6839\u636eWestHaven\u6807\u51c6\uff0c\u809d\u6027\u8111\u75c5\u7684\u4e94\u4e2a\u9636\u6bb5\u662f\uff1a<\/p>\n<ul>\n<li>\n<p>\u7b2c0\u9636\u6bb5\u3002\u5728\u8fd9\u4e2a\u9636\u6bb5\uff0c\u75c7\u72b6\u5f88\u8f7b\u5fae\u3002<\/p>\n<\/li>\n<li>\n<p>\u7b2c1\u9636\u6bb5\u3002\u75c7\u72b6\u8f7b\u5fae\u3002\u5b83\u4eec\u53ef\u80fd\u5305\u62ec\u7f29\u77ed\u6ce8\u610f\u529b\u7684\u65f6\u95f4\u548c\u7761\u7720\u4e60\u60ef\u6539\u53d8\uff0c\u5982\u55dc\u7761\u6216\u5931\u7720\u3002<\/p>\n<\/li>\n<li>\n<p>\u7b2c2\u9636\u6bb5\u3002\u75c7\u72b6\u6e29\u548c\u3002\u5728\u8fd9\u4e2a\u9636\u6bb5\uff0c\u53ef\u80fd\u4f1a\u611f\u5230\u8ff7\u5931\u65b9\u5411\u6216\u660f\u660f\u6b32\u7761\u3002<\/p>\n<\/li>\n<li>\n<p>\u7b2c3\u9636\u6bb5\u3002\u75c7\u72b6\u5f88\u4e25\u91cd\u3002\u65e0\u6cd5\u6267\u884c\u57fa\u672c\u4efb\u52a1\u3002\u75c5\u4eba\u611f\u5230\u56f0\u60d1\uff0c\u51fa\u73b0\u4e2a\u6027\u6539\u53d8\u3002<\/p>\n<\/li>\n<li>\n<p>\u7b2c4\u9636\u6bb5\u3002\u8fd9\u4e2a\u9636\u6bb5\u7684\u7279\u70b9\u662f\u660f\u8ff7\u3002<\/p>\n<\/li>\n<\/ul>\n<p>\u5f53\u60a3\u8005\u63a5\u53d7\u76f8\u5e94\u68c0\u67e5\uff0c\u5e76\u83b7\u5f97\u8fd9\u4e94\u4e2a\u4e34\u5e8a\u6307\u6807\u4e2d\u7684\u76f8\u5e94\u5f97\u5206\u540e\uff0c\u6240\u6709\u7684\u5f97\u5206\u90fd\u4f1a\u52a0\u8d77\u6765\uff0c\u7ed3\u679c\u5c31\u662fChild-Pugh\u5f97\u5206\u3002<\/p>\n<p>5\u4e2a\u6307\u6807\u7684\u5206\u6570\u76f8\u52a0\u5e76\u5f52\u7c7b\u4e3a\uff1a<\/p>\n<ul>\n<li>\n<p>A\u7ea7\uff1a5-6\u5206\uff0cA\u7ea7\u610f\u5473\u7740\u809d\u810f\u5de5\u4f5c\u6b63\u5e38<\/p>\n<\/li>\n<li>\n<p>B\u7ea7\uff1a7-9\u5206\uff1bB\u7ea7\u6307\u8f7b\u5ea6\u81f3\u4e2d\u5ea6\u635f\u5bb3<\/p>\n<\/li>\n<li>\n<p>C\u7ea7\uff1a10-15\u5206\uff1bC\u7ea7\u610f\u5473\u7740\u4e25\u91cd\u7684\u809d\u635f\u4f24\uff1a\u4e0d\u5e78\u7684\u662f\uff0c\u8fd9\u79cd\u60c5\u51b5\u4e0b\u809d\u764c\u60a3\u8005\u901a\u5e38\u75c5\u60c5\u592a\u4e25\u91cd\uff0c\u65e0\u6cd5\u8fdb\u884c\u624b\u672f\u6216\u5176\u4ed6\u4e3b\u8981\u764c\u75c7\u6cbb\u7597\u3002<\/p>\n<\/li>\n<\/ul>\n<p>Child-Pugh\u6cbb\u7597\u4e0e\u9884\u540e<\/p>\n<p>\u8f83\u9ad8\u7684Child-Pugh\u8bc4\u5206\u8868\u660e\u809d\u529f\u80fd\u6076\u5316\uff0c\u7ed9\u533b\u7597\u548c\u5916\u79d1\u56e2\u961f\u4e00\u4e2a\u201c\u809d\u5171\u75c5\u201d\u548c\u201c\u809d\u50a8\u5907\u201d\u7684\u6982\u5ff5\u3002\u56e0\u4e3a\u809d\u529f\u80fd\u8870\u7aed\u662f\u809d\u5207\u9664\u672f\u540e\u6b7b\u4ea1\u7684\u4e3b\u8981\u539f\u56e0\uff0c\u6240\u4ee5\u8fd9\u5728\u8ba1\u5212\u809d\u810f\u6cbb\u7597\u5e72\u9884\u65f6\u975e\u5e38\u6709\u7528\u3002\u4f8b\u5982\uff0cChild-Pugh\u8bc4\u5206\u7528\u4e8e\u5df4\u585e\u7f57\u90a3\u4e34\u5e8a\u809d\u764c\uff08BCLC\uff09\u5206\u671f\u7cfb\u7edf\uff0c\u4ee5\u5e2e\u52a9\u6307\u5bfc\u809d\u764c\u7684\u6cbb\u7597\u3002Child-Pugh\u8bc4\u5206\u9884\u6d4b\u4e86\u5207\u9664\u672f\u540e\u56f4\u624b\u672f\u671f\u7684\u751f\u5b58\u7387\u3002<\/p>\n<p>Child-Pugh\u8bc4\u5206\u9884\u6d4b\u7684\u56f4\u624b\u672f\u671f\u6b7b\u4ea1\u7387\uff1a<\/p>\n<ul>\n<li>\n<p>Child-Pugh\u8bc4\u5206A\uff1a\u56f4\u624b\u672f\u671f\u6b7b\u4ea1\u7387\u7ea65%<\/p>\n<p>&nbsp;\u25a0\u53ef\u80fd\u6709\u591a\u8fbe50%\u7684\u809d\u810f\u88ab\u5207\u9664<\/p>\n<\/li>\n<li>\n<p>Child-Pugh\u8bc4\u5206B\uff1a\u56f4\u624b\u672f\u671f\u6b7b\u4ea1\u7387\u572810-15%<\/p>\n<p>&nbsp;\u25a0\u4e0d\u8d85\u8fc725%\u7684\u809d\u810f\u5207\u9664<\/p>\n<\/li>\n<li>\n<p>Child-Pugh\u8bc4\u5206C\uff1a\u56f4\u624b\u672f\u671f\u6b7b\u4ea1\u7387&gt;25%<\/p>\n<p>&nbsp;\u25a0\u7981\u6b62\u809d\u5207\u9664<\/p>\n<\/li>\n<\/ul>\n<p>\u9700\u8981\u7279\u522b\u5f3a\u8c03\u7684\u662f\uff0c\u5f88\u591a\u4eba\u90fd\u77e5\u9053\u809d\u810f\u6709\u518d\u751f\u7684\u529f\u80fd\u3002\u4f46\u662f\u809d\u810f\u518d\u751f\u662f\u6709\u6761\u4ef6\u7684\uff0c\u5982\u809d\u810f\u7684\u786c\u5316\u7a0b\u5ea6\u8f83\u4f4e\uff0c\u6709\u8db3\u591f\u7684\u809d\u810f\u5b58\u7559\u4e0b\u6765\u3002\u4e0d\u8981\u795e\u8bdd\u809d\u810f\u518d\u751f\u7684\u80fd\u529b\uff0c\u66f4\u4e0d\u80fd\u5728\u809d\u764c\u60a3\u8005\u7684\u6cbb\u7597\u51b3\u7b56\u4e2d\uff0c\u6ca1\u6709\u624b\u672f\u7684\u6761\u4ef6\u4e5f\u786c\u8981\u201c\u521b\u9020\u6761\u4ef6\u201d\u63a5\u53d7\u624b\u672f\uff0c\u7ed3\u679c\u5f97\u4e0d\u507f\u5931\u3002<\/p>\n<p>\u91c7\u7528MELD\u8bc4\u5206\u5c06\u809d\u529f\u80fd\u4e0d\u5168\u4f5c\u4e3a\u809d\u79fb\u690d\u7684\u6307\u5f81\u8fdb\u884c\u5206\u7ea7\uff0c\u8fd9\u70b9\u672c\u6587\u5c31\u4e0d\u591a\u8bb2\u4e86\u3002<\/p>\n<p>\u809d\u764c\u5df4\u585e\u7f57\u90a3\u5206\u671f\uff1a\u5bf9\u80bf\u7624\u7684\u8bc4\u4f30<\/p>\n<p>\u5df4\u585e\u7f57\u90a3\u5bf9\u80bf\u7624\u7684\u8bc4\u4f30\u5305\u62ec\u901a\u8fc7\u5f71\u50cf\u5b66\u8bca\u65ad\u51fa\u7684\u5982\u4e0b\u4fe1\u606f\uff1a<\/p>\n<ul>\n<li>\n<p>\u80bf\u7624\u5927\u5c0f\uff1a\u540c\u7b49\u60c5\u51b5\u4e0b\uff0c\u80bf\u7624\u8d8a\u5c0f\uff0c\u60a3\u8005\u9884\u540e\uff08\u751f\u5b58\uff09\u8d8a\u597d\uff0c\u671f\u522b\u8d8a\u65e9\u3002<\/p>\n<\/li>\n<li>\n<p>\u80bf\u7624\u6570\u91cf\uff08\u5355\u53d1\u8fd8\u662f\u591a\u53d1\u6027\u80bf\u7624\uff09\uff1a\u540c\u7b49\u60c5\u51b5\u4e0b\uff0c\u5355\u53d1\u80bf\u7624\u6bd4\u591a\u53d1\u80bf\u7624\u7684\u751f\u5b58\u8981\u597d\uff0c\u671f\u522b\u8981\u65e9\u3002<\/p>\n<\/li>\n<li>\n<p>\u8840\u7ba1\u4fb5\u72af\uff08\u95e8\u8109\u548c\u9759\u8109\u7cfb\u7edf\uff09\uff1a\u809d\u764c\u53ea\u8981\u8840\u7ba1\u4fb5\u72af\uff0c\u5df4\u585e\u7f57\u90a3\u5206\u671f\u4e3a\u665a\u671f\uff08C\u671f\uff09\u751a\u81f3\u53ef\u80fd\u662f\u7ec8\u672b\u671f\uff0c\u65e0\u8bba\u80bf\u7624\u7684\u5927\u5c0f\u6216\u6570\u91cf\u5982\u4f55\u3002<\/p>\n<\/li>\n<li>\n<p>\u533a\u57df\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u548c\u809d\u5916\u8f6c\u79fb\/\u8fdc\u5904\u8f6c\u79fb\uff1a\u540c\u6837\uff0c\u809d\u764c\u5982\u679c\u6709\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u6216\u809d\u5916\u8f6c\u79fb\uff0c\u5df4\u585e\u7f57\u90a3\u5206\u671f\u5373\u4e3a\u665a\u671f\uff08C\u671f\uff09\u751a\u81f3\u53ef\u80fd\u662f\u7ec8\u672b\u671f\uff08D\u671f\uff09\uff0c\u65e0\u8bba\u80bf\u7624\u7684\u5927\u5c0f\u6216\u6570\u91cf\u5982\u4f55\u3002<\/p>\n<\/li>\n<\/ul>\n<p>\u5173\u4e8e\u8fd9\u51e0\u4e2a\u56e0\u7d20\uff0c\u7b80\u5355\u8bf4\u660e\u4e24\u70b9\uff1a<\/p>\n<p>1\u3001\u4e4b\u6240\u4ee5\u4e00\u518d\u5f3a\u8c03\u201c\u540c\u7b49\u60c5\u51b5\u4e0b\u201d\uff0c\u662f\u56e0\u4e3a\u5df4\u585e\u7f57\u90a3\u5206\u671f\u8fd8\u6781\u5927\u7684\u53d7\u5230\u4f53\u529b\u72b6\u6001\u548c\u809d\u529f\u80fd\u8bc4\u4f30\u7684\u5f71\u54cd\u3002<\/p>\n<p>2\u3001\u5df4\u585e\u7f57\u90a3\u5206\u671f\u4e2d\uff0c\u53ea\u8981\u6709\u8840\u7ba1\u4fb5\u72af\u3001\u533a\u57df\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u6216\u809d\u5916\u8f6c\u79fb\uff0c\u5373\u4e3a\u665a\u671f\uff08C\u671f\uff09\u6216\u8005\u7ec8\u672b\u671f\uff08D\u671f\uff09\uff0c\u65e0\u8bba\u80bf\u7624\u7684\u5927\u5c0f\u6216\u6570\u91cf\u5982\u4f55\u3002\u8fd9\u70b9\u53ef\u80fd\u6709\u4e9b\u60a3\u8005\u548c\u5bb6\u5c5e\u4e0d\u5927\u80fd\u7406\u89e3\u6216\u63a5\u53d7\u7684\uff0c\u56e0\u4e3a\u8fd9\u610f\u5473\u7740\u60a3\u8005\u9884\u540e\uff08\u751f\u5b58\uff09\u5f88\u5dee\uff1b\u800c\u4e14\u5927\u591a\u6570\u5176\u4ed6\u764c\u75c7\u7c7b\u578b\u533a\u57df\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u6216\u4fb5\u72af\u8840\u7ba1\u7684\u8bdd\uff0c\u4e5f\u4e0d\u81f3\u4e8e\u5f52\u4e3a\u665a\u671f\u3002\u5176\u5b9e\u5bf9\u4e8e\u809d\u764c\u7684TNM\u5206\u671f\uff0c\u4e5f\u662f\u53ea\u8981\u6709\u533a\u57df\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u6216\u809d\u5916\u8f6c\u79fb\uff0c\u4e5f\u662f\u665a\u671f\uff08IV\u671f\uff09\uff0c\u65e0\u8bba\u80bf\u7624\u7684\u5927\u5c0f\u6216\u6570\u91cf\u5982\u4f55\u3002\u665a\u671f\uff08C\u671f\uff09\u809d\u764c\u60a3\u8005\u4e0d\u5e94\u8be5\u63a5\u53d7\u624b\u672f\u6cbb\u7597\uff0c\u800c\u5e94\u8be5\u4ee5\u836f\u7269\u6cbb\u7597\u4e3a\u4e3b\uff0c\u8054\u5408\u653e\u7597\u3002\u7ec8\u672b\u671f\uff08D\u671f\uff09\u60a3\u8005\u4ee5\u5bf9\u75c7\u59d1\u606f\u6cbb\u7597\u4e3a\u4e3b\uff0c\u4e0d\u5efa\u8bae\u79ef\u6781\/\u6fc0\u8fdb\u7684\u6297\u764c\u6cbb\u7597\u3002\u5173\u4e8e\u809d\u764c\u6709\u8840\u7ba1\u4fb5\u72af\u6216\u533a\u57df\u6dcb\u5df4\u7ed3\u8f6c\u79fb\uff0c\u5c31\u662f\u665a\u671f\uff0c\u9884\u540e\u5f88\u5dee\u7684\u76f8\u5173\u5185\u5bb9\uff0c\u653e\u5728\u5ef6\u4f38\u9605\u8bfb\u90e8\u5206\u4e86\uff0c\u611f\u5174\u8da3\u7684\u53ef\u4ee5\u5230\u6587\u672b\u9605\u8bfb\u3002<\/p>\n<p>\u5df4\u585e\u7f57\u90a3\u5206\u671f<\/p>\n<p>\u5df4\u585e\u7f57\u90a3\u5206\u671f\u5206\u7c7b\u7cfb\u7edf\u5c06\u60a3\u8005\u5206\u4e3a5\u7c7b\uff1a<\/p>\n<p>0\u671f\uff08\u975e\u5e38\u65e9\u671f\uff09\uff1a\u65e0\u75c7\u72b6\u65e9\u671f\u80bf\u7624<\/p>\n<ul>\n<li>\n<p>\u4f53\u529b\u8bc4\u5206PS\u4e3a0<\/p>\n<\/li>\n<li>\n<p>Child-Pugh\u8bc4\u5206\uff08\u809d\u786c\u5316\u5206\u671f\u7cfb\u7edf\uff09\u4e3aA<\/p>\n<\/li>\n<li>\n<p>\u76f4\u5f84\u5c0f\u4e8e2\u5398\u7c73\u7684\u5b64\u7acb\u6027\u75c5\u53d8<\/p>\n<\/li>\n<li>\n<p>\u6cbb\u7597\u65b9\u6848\u4ee5\u6d88\u878d\u548c\u624b\u672f\u5207\u9664\u4e3a\u4e3b\uff0c\u9884\u671f\u751f\u5b58\u671f\u5927\u4e8e5\u5e74<\/p>\n<\/li>\n<\/ul>\n<p>A\u671f\uff08\u65e9\u671f\uff09\uff1a\u65e0\u75c7\u72b6\u65e9\u671f\u80bf\u7624<\/p>\n<ul>\n<li>\n<p>\u4f53\u529b\u8bc4\u5206PS\u4e3a0<\/p>\n<\/li>\n<li>\n<p>Child-Pugh\u8bc4\u5206\uff08\u809d\u786c\u5316\u5206\u671f\u7cfb\u7edf\uff09\u4e3aA\u6216B<\/p>\n<\/li>\n<li>\n<p>\u5355\u53d1\u75c5\u7076&gt;2\u5398\u7c73\uff1b\u6216\u65e9\u671f\u591a\u7076\u6027\u75be\u75c5\uff0c\u7279\u5f81\u662f\u6700\u591a3\u4e2a\u75c5\u7076\uff0c\u90fd\u5c0f\u4e8e3\u5398\u7c73<\/p>\n<\/li>\n<li>\n<p>\u6cbb\u7597\u65b9\u6848\u4ecb\u5165\u6d88\u878d\uff0c\u624b\u672f\u5207\u9664\u548c\u809d\u79fb\u690d\uff0c\u9884\u671f\u751f\u5b58\u671f\u5927\u4e8e5\u5e74<\/p>\n<\/li>\n<\/ul>\n<p>B\u671f\uff08\u4e2d\u671f\uff09\uff1a\u65e0\u75c7\u72b6\u591a\u7076\u6027\u75be\u75c5<\/p>\n<ul>\n<li>\n<p>\u4f53\u529b\u8bc4\u5206PS\u4e3a0<\/p>\n<\/li>\n<li>\n<p>Child-Pugh\u8bc4\u5206\uff08\u809d\u786c\u5316\u5206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Clinic Liver Cancer 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