The hepatocarcinoma patient should watch out for the liver _ prevention and health care of encephalopathy

The hepatocarcinoma patient should watch out for the liver _ prevention and health care of 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. Divided into clinically acutely and chronically, acute liver encephalopathy take place on acute the intersection of liver function and depleted patient often because acute a large number of hepatocyte necrosis, condition serious having obvious inducement enter state of going into a coma quickly often.
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.. Divide liver encephalopathy into the following four issues on clinic: 1. Prodromal stage 2. Go into a coma in earlier stage 3. Lethargy one 4. Go into a coma for period
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.
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