Typical symptoms in patients with liver cirrhosis diagnosed easy, but some patients can be without typical clinical symptoms, in the occult decompensation, confirmed at this time is difficult. Therefore, the diagnosis of cirrhosis is a comprehensive diagnosis.
(1) viral hepatitis, alcohol long-term, long-term malnutrition, such as schistosomiasis or chemical poisoning history.
(2) Symptoms: Early (decompensated) loss of appetite, ascites, nausea, diarrhea, mild swelling of the liver and spleen, vascular moles, late (decompensated stage) ascites, bleeding tendency, jaundice, liver palms, splenomegaly, such as smaller size of the liver.
(3) liver function tests: decompensated liver function is normal or mildly abnormal, decompensated liver function significantly abnormal period, lower serum albumin and globulin increased its proportion of inversion, protein electrophoresis γ globulin increased significantly.
(4) blood examination: hypersplenism, WBC and platelet reduction in serious blood cells decreased.
(5) barium penetration or esophageal endoscopy, or esophageal varices.
(6) B-examination: liver changes in the size, shape and surface, echo changes, portal vein, splenic vein thickening, ascites fluid that dark zone, spleen volume increases.
(7) liver histological examination: fibre and at a small nodular or mixed nodular hyperplasia can be confirmed.
Monday, March 17, 2008
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