Hepatocarcinoma causes symptom and _ symptom of liver encephalopathy

Hepatocarcinoma causes symptom and _ symptom of liver encephalopathy
Liver encephalopathy, also called the hepatic coma, or liver brain syndrome, it is hepatocarcinoma and common complication of latter stage of end. Lack proper care with the intersection of central nervous system and function and the intersection of supersession and disorder as characteristic, fail with intelligence, the intersection of consciousness and obstacle, nervous system physical sign and liver damage for being main and clinical now, also one of the death reasons why hepatocarcinoma is common, nearly cause death of about 30% of patients.
First, disease Reason
It is closely related with that emergence of liver encephalopathy and liver function are depleted. Cause patient's common factor with depleted liver function of hepatocarcinoma to include filling the air hepatocarcinoma and huge one type later period of cancer cell of liver, the cancer cell is invaded extensively moistly or amalgamates liver cirrhosis, liver function has obvious damage, or the modern antitumor treatment such as artery ligature of liver, liver artery thromboembolism chemotherapy, radiotherapy,etc..
Second, diagnose
The diagnosis of encephalopathy of hepatocarcinoma complication is easy, the following several points can do the diagnosis basis:
1,Later period the intersection of hepatocarcinoma and patient, appear a series of spirit, the intersection of nerve and unusual sign, such as consciousness change and sleep get by mistake, tremble, go into a coma etc. by flapping wing kind.
2,Can bleed by upper digestive tract, hepatocarcinoma break, bleed, continue, send, infect, put ascites, heavy dose of use of diuretic while being excessive. Operation wound, employing damaging reasons such as liver medicine and high protein diet,etc. to bring out.
3,Amalgamate liver cirrhosis to lose, compensate a patient to have obvious inducement and present the above-mentioned symptom.
4,Ammonia increased gt of blood; 59 mol/L.
5,The electroencephalogram obviously unusually changes, such as slackening the rhythm, present wave, the symmetrical high voltage slow wave appears at the same time on both sides. Figure connect and figure mark word test, put up building blocks, test, sign, test for main fact, this kind of test contributes to diagnosing in early days.
Third, clinical manifestation
Mainly shown as mind in a trance appears on the common symptom foundation of hepatocarcinoma of failing at lump of upper abdomen, aching, becoming thin, appetite of liver district etc., directional strength and calculation strength fail, have a liking for and sleep. Go into a coma and flapping wing kind is vibrated etc.. Among them the flapping wing kind vibrates characteristic manifestation that is liver encephalopathy. Chinese Medical Association divided liver encephalopathy into the following tertiarily in 1983:
I grade: Slow in reaction, without centralized ability, insomnia, happy pleasant sensation, the personality changes, to the scarce response of things around, behavior disorder, depressed, is addicted to sleeping, lose directional ability.
2Grade: Psychotomimetically, not recognizing people, the wood is stiff, lethargy, the flapping wing kind vibrates not independent sports.
Grade: Go into a coma, including going into a coma deeply and going into a coma simply.
I grade is often ignored, 2 grade is paid attention to, the electroencephalogram contributes to diagnosing.
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