Kalkulator Child-Pugh Score (Child-Turcotte-Pugh, CTP)

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Kalkulator Child-Pugh Score (Child-Turcotte-Pugh, CTP)

Klik item yang sesuai untuk menghitung secara otomatis.

(1) PT INR (atau peningkatan PT dalam detik dibandingkan dengan control)

PT INR < 1.7 (Peningkatan PT < 4 detik) (1 poin) PT INR 1.7 ~ 2.3 (Peningkatan PT 4 ~ 6 detik) (2 poin) PT INR > 2.3 (Peningkatan PT > 6 detik) (3 poin)

(2) Albumin (g/dL)

Albumin > 3.5 (1 poin) Albumin 2.8 ~ 3.5 (2 poin) Albumin < 2.8 (3 poin)

(3) Bilirubin (mg/dL)

Total bilirubin < 2 (1 poin) Total bilirubin 2 ~ 3 (2 poin) Total bilirubin > 3 (3 poin)

(4) Ascites

Tidak ada (1 poin) Ringan hingga Sedang (Responsif terhadap diuretik) (2 poin) Berat (Refrakter terhadap diuretik) (3 poin)

(5) Encephalopathy*

Tidak ada (1 poin) Ringan hingga Sedang (Grade 1 atau 2) (2 poin) Berat (Grade 3 atau 4) (3 poin)

*Grading of hepatic encephalopathy (West Haven)

Grade 1 (mild HE) : mild confusion, sleep disturbance
Grade 2 (moderate HE) : leghargy, moderate confusion
Grade 3 (severe HE) : drowsiness or stupor
Grade 4 (coma) : comatose, unresponsiveness

Class A : 5 ~ 6 poin (penyakit hati paling ringan)
Class B : 7 ~ 9 poin (penyakit hati sedang)
Class C : 10 ~ 15 poin (penyakit hati paling berat)

Reference :
Child CG, Turcotte JG. Surgery and portal hypertension. Major Probl Clin Surg. 1964;1:1-85. PMID: 4950264.

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