WordNet

an immature childish person; "he remained a child in practical matters as long as he lived"; "stop being a baby!" (同)baby
a human offspring (son or daughter) of any age; "they had three children"; "they were able to send their kids to college" (同)kid
a young person of either sex; "she writes books for children"; "theyre just kids"; "`tiddler is a British term for youngster" (同)kid, youngster, minor, shaver, nipper, small_fry, tiddler, tike, tyke, fry, nestling
a member of a clan or tribe; "the children of Israel"
restriction imposed by the government on documents or weapons that are available only to certain authorized people
a group of people or things arranged by class or category (同)categorization, categorisation
the basic cognitive process of arranging into classes or categories (同)categorization, categorisation, sorting

PrepTutorEJDIC

(おとなに対して)『子供』,幼児,児童;(小学・中学・高校の)児童 / (親に対して)子,子孫;息子,娘 / (ある環鏡・時代の)影響を受けて生まれた人,(…の)申し子《+『of』+『名』》 / (頭脳・空想などが)産み出したものの,所産《+『of』+『名』》
〈U〉〈C〉分類[作業];分類法;分類結果 / 〈U〉(生物学上の)分類
plutoniumの化学記号

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1. 計算ツール：肝疾患重症度のためのChild Pugh分類 calculator child pugh classification for severity of liver disease
2. 成人における肝硬変：合併症、全般的マネージメント、および予後の概要 cirrhosis in adults overview of complications general management and prognosis
3. Model for End-stage Liver Disease (MELD)
4. 計算機：肝疾患重症度ためのChild Pugh分類（SI単位） calculator child pugh classification for severity of liver disease si units
5. 肝疾患患者における手術リスクの評価 assessing surgical risk in patients with liver disease

English Journal

Treatment Outcomes of Surgical Resection for Hepatocellular Carcinoma with Inferior Vena Cava Invasion and/or Thrombosis.

Jung H, Lee KU, Shin WY, Ahn H.AbstractBackground/Aims: Advanced hepatocellular carcinoma with either an invasion of the inferior vena cava or thrombosis is rare, and its prognosis is extremely poor. There is no established treatment. The purpose of this study was to evaluate the efficacy of surgical resection and its prognosis in 5 recent cases. Methodology: From January 2005 to December 2008, 5 patients diagnosed with advanced hepatocellular carcinoma with inferior vena cava invasion and/or thrombosis underwent surgical resection. These patients were retrospectively reviewed. Results: The mean age at diagnosis was 54 years. There were 4 men and 1 woman. According to the Child-Pugh classification, all patients were class A. One case had 2 hepatic masses, and the others had a solitary hepatic mass. The mean tumor size was 5.53cm. All 5 patients underwent partial hepatectomy and inferior vena cava resection or thrombosis removal. Among these, 4 cases needed a cardiopulmonary bypass. Four patients survived and 1 patient expired at the point of analyzing. Four cases experienced recurrences. The mean disease-free survival time was 19.6 months. One patient has been followed-up for 43 months without any recurrences up to now. Conclusions: Concurrent en-bloc resection of the liver and inferior vena cava for progressive HCC accompanying IVC invasion or thrombosis can be considered as a curative treatment.
Hepato-gastroenterology.Hepatogastroenterology.2011 Sep-Oct;58(110-111):1694-9. doi: 10.5754/hge10653. Epub 2011 Jul 15.
Background/Aims: Advanced hepatocellular carcinoma with either an invasion of the inferior vena cava or thrombosis is rare, and its prognosis is extremely poor. There is no established treatment. The purpose of this study was to evaluate the efficacy of surgical resection and its prognosis in 5 rece
PMID 21940334

Surgical modalities for gastric carcinoma with concurrent portal hypertension: a retrospective study.

Xu Q, Gu L, Luo M, Wu ZY.AbstractBackground/Aims: Abdominal surgery in gastric carcinoma patients with concurrent portal hypertension (PHT) is highly risky due to liver function impairment. This study aimed to identify the optimal surgical modalities for the concomitant conditions Methodology: Thirty patients with gastric adenocarcinoma and concurrent PHT who received radical (n=28) or palliative (n=2) gastrectomy plus D0/D1 (n=12) or D2 (n=18) lymphadenectomy, were reviewed. Logistic and Cox regression analysis were used to determine the correlation of predefined perioperative factors with surgical morbidity and overall survival (OS), respectively. Results: Sixteen (53.3%) patients experienced postoperative complications; the rates were 26.7% (4/15), 72.7% (8/11) and 100.0% (4/4) in patients with Child-Pugh classification (CPC) Class A, B and C, respectively. Five (16.7%) patients did not survive due to pulmonary embolism (n=1), anastomotic leakage (n=2), and multiple organ dysfunction syndrome (n=2). The median survival time was 15.0 months. TNM staging (p=0.027), CPC (p=0.048) and preoperative ascites (p=0.001) were significantly associated with OS as determined in the multivariate analysis. Conclusions: Concomitant surgical treatment of PHT depends on the presence of hypersplenism and variceal bleeding risk. Baseline CPC, tumor TNM staging and the preoperative ascites predict the risks of surgical complications and long-term outcome.
Hepato-gastroenterology.Hepatogastroenterology.2011 Sep-Oct;58(110-111):1632-7. doi: 10.5754/hge11031. Epub 2011 Jul 15.
Background/Aims: Abdominal surgery in gastric carcinoma patients with concurrent portal hypertension (PHT) is highly risky due to liver function impairment. This study aimed to identify the optimal surgical modalities for the concomitant conditions Methodology: Thirty patients with gastric adenocarc
PMID 21940330

Japanese Journal

肝硬変に伴う門脈圧?亢進症における小腸病変の検討

水野秀城,加賀谷尚史,大石尚毅,鷹取元,山下竜也,水腰英四郎,酒井明人,中本安成,本多政夫,金子周一
日本消化器内視鏡学会雑誌 = Gastroenterological endoscopy 53(6), 1600-1608, 2011-06-20
… 例の小腸病変について，カプセル内視鏡を用いて評価し，静脈瘤や肝予備能などの背景因子との関連について検討した．肝細胞癌の治療や静脈瘤の治療を目的に入院中の15例（平均年齢66.6歳，男/女;8例/7例，Child-PughA/B/C;8例/6例/1例，肝細胞癌合併8例）をLC群，同時期に検査した基礎疾患に肝硬変・門脈圧亢進症を有しない15例をcontrol群として比較検討した．全例でカプセルの滞留はなかった．LC群において，edema，erythem …
NAID 10029092652

肝硬変を併存する頭頸部癌患者への対応

横島一彦,中溝宗永,稲井俊太,酒主敦子,粉川隆行,山口智,戸根裕子,八木聰明
頭頸部外科 = Journal of Japan Society for Head and Neck Surgery 20(3), 303-307, 2011-02-28
… Child-Pugh分類C群は放射線単独治療を完遂できない症例が目立ち，治療自体に限界があった。 … Child-Pugh分類B群は放射線単独治療の完遂は可能であったが，他の治療を選択できないと判断したため，進行癌には限界があった。 …
NAID 10029079191

腹腔鏡下マイクロ波凝固療法後，13年生存中のC型肝硬変合併肝細胞癌の１例

一箭珠貴,辻邦彦,松居剛志,駒場福雄,姜貞憲,桜井康雄,児玉芳尚,真口宏介
Journal of Microwave Surgery 28(0), 75-79, 2010
… A 69-year-old female affected of HCV-related cirrhosis in Child-Pugh classification A, developed a solitary hepatocellular carcinoma (HCC), 30mm in diameter. …
NAID 130000423995

「チャイルド・ピュー分類」

　　[★]

英: Child-Pugh classification
関: Childの分類、肝硬変。肝障害度

チャイルド・ピュー分類

	1点	2点	3点
肝性脳症(肝性昏睡)	なし	軽度 1～2度	時々昏睡 3～4度
腹水	なし	少量	中等量
血清ビリルビン（mg/dl）	2.0未満	2.0-3.0	3.0超
血清アルブミン（g/dl）	3.5超	2.8-3.5	2.8未満
プロトロンビン時間(秒) プロトロンビン活性（%）	＜4 70超	4≦ ≦6 40-70	6＜ 40未満