's general knowledge of later period of liver cirrhosis

's general knowledge of later period of liver cirrhosis
Liver cirrhosis often dies from complications, liver cirrhosis may present complication as follows in later period:
1.Liver encephalopathy: Liver encephalopathy is the most common death reason.
2.A large amount of bleeding of upper digestive tract: The upper digestive tract of liver cirrhosis bleeds, the great majority are because the esophagus - fundus of stomach is variceal to break, but membrane tear syndrome etc. other factors if erupt peptic ulcer, door pulse and high pressure stomach trouble simultaneously, acute and bleed vesicant gastritis, cardia mucous membrane tear syndrome etc.. Variceal to break, bleed coarse food, getting chemical to stimulate and pigeonhole the intersection of person who increase and factor and cause in the belly, often shown as spittinging blood and melena. If there is little bleeding amount, can only relieve oneself black. A large amount of bleeding can cause shock, and bring out ascites and liver encephalopathy, even die. The originally swelling spleen could shrink after bleeding, even can't touch.
3.Infect: The liver cirrhosis patient is hyperfunction because of the spleen function, the organism immunological function fails and resistance is reduced, and the intersection of door and foundation of collateral circulation under intravenous body, offer more opportunities that the pathogenic microbe enters the human body, so apt to erupt various infection such as bronchitis, pneumonia, tuberculosis peritonitis, biliary tract infecting with, spontaneous peritonitis and leather blue negative bacillus septicaemia,etc. simultaneously. Spontaneous peritonitis refers to there is no acute bacterial infection of peritoneum that internal organs punch in liver cirrhosis patient's abdominal cavity, the incidence can account for 3%-10% of liver cirrhosis. Reason its single core when the liver cirrhosis and phagocyte bite fungus function and subside, the bacterium unusually breeds in the intestine, the bacterium enters the abdominal cavity through the intestines wall; The internal and external blood vessels structure of liver changes, bacterium can through collateral circulation, cause bacteremia or with fungus lymphocytic liquid make under the membrane seeping in the abdominal cavity and causing the infection with the intersection of liver and the intersection of door and lymphocytic clump liver. The typical case generates heat, suffers from abdominal pain with the wall tenderness of belly and jumps to ache instead, the leucocyte can increase, the ascites is muddy, present and ooze out the liquid. The ascites is trained there can be bacteria to grow, it is often positive to test Hou's dissolved matter. A few cases have not suffered from abdominal pain or generated heat, shown as hypotension or shock, obstinate ascites or going on liver function is depleted.
4.Primary hepatocarcinoma: Primary hepatocarcinoma happen on the basis of liver cirrhosis more, should consider erupting the possibility of hepatocarcinoma simultaneously when the following situation appear. Under treating actively, the condition still develops rapidly and worsens. Going on hepatomegaly. Liver district that can explain ache that there are no other reasons. Appearance of the courageous and upright ascites. What there are no other reasons and can be explained generate heat. First fetus albumen continuation or increasing. B -type supersound or radioactive the intersection of nuclide and liver scan, check, find, take the intersection of location and the intersection of and pathological change.
5.Liver kidney syndrome: Liver cirrhosis erupts the getting obstinate ascites simultaneously and not obtained appropriately and can present liver kidney syndrome while treating. Its characteristic is few urine or has no urine, nitrogen blood disease, low blood sodium and low urine sodium. The kidney does not have organic disease so also claim the functional renal function is depleted. It has illness coming on and relates to following factors: Eat reducing, vomiting, diarrhoea, diuretic to employ improperly at the time of a large amount of ascites, make the blood capacity of circulation lower, effective blood capacity of the kidney is reduced, the glomerular filtration rate and blood plasma flow of kidney drop. When liver function is depleted, the liver removes strength to weaken the noxious substance in the blood, have aggravated the damage of the kidney. This complication is not rare on clinic, the prognosis is extremely bad. The functional renal function is depleted to exist and develop, can also cause the renal substantive damage continuously, and cause the acute renal function to be depleted.
6.The phlebothrombosis of door: About 10% of the nodular liver cirrhosis can erupt the phlebothrombosis of door simultaneously. Portal vein inner blood flow slowly and portal vein harden and the intersection of portal vein and inner the intersection of membrane and the intersection of inflammation,etc. and factor have something to do when thrombosis and portal vein obstruct. If thrombus take shape slowly, limited to portal vein outside the liver, and organic to take, or the collateral circulation is abundant, there can not be obvious clinical symptoms. For instance produced obstructing completely suddenly, could present violent abdominal pain, abdominal distension, having blood in one's stool, spittinging blood, shock,etc.. In addition, the spleen often increases rapidly, the ascites takes shape with higher speed, and often bring out liver encephalopathy.
7.Liver cirrhosis result depend on nutritional status of patient heal, later period, whether have ascites, have liver nature encephalopathy, serum bilirubin and albuminous level and thrombinogen time. Still relate to cause of disease, age and gender. Generally speaking, the liver cirrhosis prognosis that virus hepatitis causes is relatively bad; The older one, the male prognosis is relatively bad. The condition of if presenting liver kidney syndrome, liver encephalopathy, erupts intravenous massive haemorrhage of the esophagus simultaneously, are infected with seriously again etc. is critical, the prognosis is extremely bad.
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