Hepatocarcinoma and _'s symptom of two major physical sign

Hepatocarcinoma and _'s symptom of two major physical sign
Budd-Chiari whether the intersection of liver and vein flow out line the intersection of liver and the intersection of sinus and expand, extravasated blood that cause block, with the intersection of liver and large and a large amount of syndrome of ascites in syndrome.
It is four type that Budd-Chiari syndrome is divided: I type, the lower vena cava diaphragm is blocked, intravenous backbone of the liver is unobstructed, one or two liver veins are blocked; 2Type,it is intravenous in liver backbone open one's mouth there aren't. The vena cava does not have pathological change; Type,vena cava fibers lower narrow without being taken,unobstructed in vein in liver; Type,vena cavas lower is narrow, stop up at thrombosis or stopping up, liver vein. Budd-Chiari syndrome clinical manifestation is:
(1) Intravenous reflux obstacle of the liver
Splenomegaly, section variceal and gastrointestinal tract bleed and ascites gather fast but more under the esophagus, the albumen content is low, similar to liver cirrhosis. Yellow subcutaneous ulcer is not outstanding, it is the courage and uprightness that the ascites is even.
(2) Lower vena cava reflux obstacle
Lower extremities edema, shallow the intersection of table and variceal, the intersection of skin and pigmentation have shank ulcer, chest the intersection of belly and wall and back shallow the intersection of table and variceal, blood flow direction his characteristic upwards.
When the primary hepatocarcinoma patient walks to shift, form the cancer bolt in the intravenous or lower vena cava of liver, will present Budd-Chiari syndrome. Symptom very typical sometimes, have obvious the intersection of liver and splenomegaly, shallow the intersection of table and variceal or lower extremities edema and pigmentation,etc., but it is the common manifestation that the ascites increases sharply. In this case, it can clear to often need to pass the intravenous radiography of liver of alternative. In the intravenous patients given much trouble of liver, can grow and invade under people along the liver vein in about 2/3 of the case cancer bolts.
|