{"id":2568,"date":"2009-02-28T20:03:18","date_gmt":"2009-02-28T20:03:18","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/gaschild\/"},"modified":"2025-05-14T19:11:54","modified_gmt":"2025-05-14T19:11:54","slug":"gaschild","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/gaschild\/","title":{"rendered":"Clasificaci\u00f3n de Child-Pugh de Severidad de Enfermedad Hep\u00e1tica"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<div class=\"Section1\">\n<p style=\"font-weight: 400;\">La clasificaci\u00f3n modificada Child-Pugh de severidad de enfermedad hep\u00e1tica se realiza de acuerdo al grado de ascitis, las concentraciones plasm\u00e1ticas de bilirrubina y alb\u00famina, el tiempo de protrombina, y el grado de encefalopat\u00eda.<\/p>\n<p><!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr style=\"height: 10px;\">\n<td style=\"height: 34px;\" rowspan=\"2\"><strong>Par\u00e1metros<\/strong><\/td>\n<td style=\"text-align: center; height: 10px;\" colspan=\"3\"><strong>Puntos asignados<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"text-align: center; height: 24px;\"><strong>1<\/strong><\/td>\n<td style=\"text-align: center; height: 24px;\"><strong>2<\/strong><\/td>\n<td style=\"text-align: center; height: 24px;\"><strong>3<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px;\">Ascitis<\/td>\n<td style=\"text-align: center; height: 24px;\">Ausente<\/td>\n<td style=\"text-align: center; height: 24px;\">Leve<\/td>\n<td style=\"text-align: center; height: 24px;\">Moderada<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px;\">Bilirrubina, mg\/dL<\/td>\n<td style=\"text-align: center; height: 24px;\">&lt;\/= 2<\/td>\n<td style=\"text-align: center; height: 24px;\">2-3<\/td>\n<td style=\"text-align: center; height: 24px;\">&gt;3<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px;\">Alb\u00famina, g\/dL<\/td>\n<td style=\"text-align: center; height: 24px;\">&gt;3,5<\/td>\n<td style=\"text-align: center; height: 24px;\">2,8-3,5<\/td>\n<td style=\"text-align: center; height: 24px;\">&lt;2,8<\/td>\n<\/tr>\n<tr style=\"height: 72px;\">\n<td style=\"height: 72px;\">Tiempo de protrombina<br \/>\n* Segundos sobre el control<br \/>\n* RIN<\/td>\n<td style=\"text-align: center; height: 72px;\">1-3<br \/>\n&lt;1,8<\/td>\n<td style=\"text-align: center; height: 72px;\">4-6<br \/>\n1,8-2,3<\/td>\n<td style=\"text-align: center; height: 72px;\">&gt;6<br \/>\n&gt;2,3<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"height: 24px;\">Encefalopat\u00eda<\/td>\n<td style=\"text-align: center; height: 24px;\">No<\/td>\n<td style=\"text-align: center; height: 24px;\">Grado 1-2<\/td>\n<td style=\"text-align: center; height: 24px;\">Grado 3-4<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p style=\"font-weight: 400;\">Una puntuaci\u00f3n total de 5-6 es considerada grado A (enfermedad bien compensada); 7-9 es grado B (compromiso funcional significativo); y 10-15 es grado C (enfermedad descompensada). Estos grados se correlacionan con una sobrevida del paciente al a\u00f1o y a los 2 a\u00f1os.<\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td width=\"150\"><strong>Grado<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"126\"><strong>Puntos<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"156\"><strong>Sobrevida del paciente al a\u00f1o (%)<\/strong><\/td>\n<td style=\"text-align: center;\" width=\"167\"><strong>Sobrevida del paciente a los 2 a\u00f1os (%)<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"150\">A: enfermedad bien compensada<\/td>\n<td style=\"text-align: center;\" width=\"126\">5-6<\/td>\n<td style=\"text-align: center;\" width=\"156\">100<\/td>\n<td style=\"text-align: center;\" width=\"167\">85<\/td>\n<\/tr>\n<tr>\n<td width=\"150\">B: compromiso funcional significativo<\/td>\n<td style=\"text-align: center;\" width=\"126\">7-9<\/td>\n<td style=\"text-align: center;\" width=\"156\">80<\/td>\n<td style=\"text-align: center;\" width=\"167\">60<\/td>\n<\/tr>\n<tr>\n<td width=\"150\">C: enfermedad descompensada<\/td>\n<td style=\"text-align: center;\" width=\"126\">10-15<\/td>\n<td style=\"text-align: center;\" width=\"156\">45<\/td>\n<td style=\"text-align: center;\" width=\"167\">35<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"Section1\">\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Pugh RN, Murray-Lyon IM, Dawson JL, Pietroni MC, Williams R. Transection of the oesophagus for bleeding oesophageal varices. Br J Surg. 1973 Aug;60(8):646-9. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/4541913\/\">[Medline]<\/a><\/li>\n<li>Lucey MR, Brown KA, Everson GT, Fung JJ, Gish R, Keeffe EB, Kneteman NM, Lake JR, Martin P, McDiarmid SV, Rakela J, Shiffman ML, So SK, Wiesner RH. Minimal criteria for placement of adults on the liver transplant waiting list: a report of a national conference organized by the American Society of Transplant Physicians and the American Association for the Study of Liver Diseases. Liver Transpl Surg. 1997 Nov;3(6):628-37. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/9404965\/\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: Febrero 16, 2006<\/p>\n<\/div>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>La clasificaci\u00f3n modificada Child-Pugh de severidad de enfermedad hep\u00e1tica se realiza de acuerdo al grado de ascitis, las concentraciones plasm\u00e1ticas de bilirrubina y alb\u00famina, el tiempo de protrombina, y el grado de encefalopat\u00eda.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"footnotes":""},"categories":[53],"tags":[1737,166,167,51,1413,529,1725,524,1736,226,180],"class_list":["post-2568","post","type-post","status-publish","format-standard","hentry","category-gastroenterology","tag-child","tag-clasificacion","tag-classification","tag-disease","tag-gastroenterology","tag-hepatico","tag-higado","tag-liver","tag-pugh","tag-severidad","tag-severity"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - 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