The liver cirrhosis patient each displays _'s symptom of the reason
( 1) Guest suffer from chronic hepatitis or patient of liver cirrhosis the hepatopathy, 1/3 more than face their, skin disease dark and gloomy and dark relatively around the eye socket, the face becomes thin witheredly, cheek department has small blood vessels to expand, the lip is dry, this is " hepatopathy face " . The great majority think that is failed by liver function, can't deactivate estrogen, so estrogen increases; In addition fail because of the cortex function of renal gland, can't inhibit the hypophysis wickedly and chromatophorous to stimulate plainly, impel the melanin to turn into and increase, enter skin, so the hepatopathy face appears.
( 2) Spider mole and liver palm liver cirrhosis patient is at face, neck often, at there see is places such as chest, shoulder, forearm and back of the hand,etc., scarlet, have radiation to be detailed to send shape little branch around, diameter its 0.2~0.5 centimetres mostly, oppress the central point of the mole with nib, pin or one end of thin stick, can make the mole and branch around disappear. This is because liver function fails, deactivate acting on to weaken estrogen, make estrogen increase in the body, reason of promoting the capillary around to expand. The appearance of spider's mole, can be regarded as the sign of the chronic hepatitis or liver cirrhosis to a certain extent, but does not have a specificity. When normal woman menstrual period or gestation, about 40% can see spider's mole; In addition, have experienced all kinds of and exposed to the weather, often drinking, thiamine lack, rheumatoid arthritis patient, and a few healthy people can also see spider's mole. It is the liver palm that the behavior of the same mechanism takes place with spider's mole. Mean the palm 2 sides ' Big, small fish's border) Ruddy, the detailed view has a lot of red spots, some take the form of spot piece, red and white and irregular, if the part will change to pressurize pale, restore to the original state after relaxing. Patient's foot bottom has this kind of change too sometimes. Because it is ruddy also called " The cinnabar palm " .
( 3) Jaundice Patient eyes sclera ( White of the eye department) Or the skin turns to be yellow, the medical terminology is called yellow subcutaneous ulcer. More than half of patients of liver cirrhosis can present this kind of physical sign, the general intensity is relatively light. Because hepatocyte destroy and fibrous hyperplasia, maos of detailed bile duct break when the liver cirrhosis, make the bile unable to discharge normally, bilirubin increases in the blood. If yellow subcutaneous ulcer appears again or rises suddenly, point out the hepatocyte to destroy, should cause the attention.
( 4) The bloated pain of male breast, the testis withers. The liver plays an important role to equilibrium of neutral hormone of normal human blood. Damage because of liver function at the time of liver cirrhosis, the supersession of sex hormone is disorderly, lead to the fact estrogen increases, androgen is reduced. Because of the function of estrogen, the man patient can see the breast. Increase, bloated pain, the testis withers. In addition liver cirrhosis ascites often spends ester in the spiral shell ' Spironolactone) Diuresis, this kind of medicine has side effect of impelling male breasts to increase too. To women, there is too much estrogen at the time of liver cirrhosis, will cause period disorder, breast dwindling, pubes to be rare, etc too.
( 5) Appear, stop some, ache paralysed the intersection of liver cirrhosis and patient have the intersection of bleeding and inclination often, repeated nosebleed, gums bleed etc.; Skin have bleed some or the intersection of silt and spot, it is hematoma to be getting serious, the behavior does not often have any inducement that take place. The blood coagulation factor is mainly made in the liver, lowers because of liver function at the time of liver cirrhosis in the human body under the normal situation, formate various blood coagulation factors and thrombese functions to lower; In addition because liver cirrhosis causes splenomegaly, it causes the blood platelet to reduce that the spleen function is hyperfunction, so there can be inclination of bleeding in the liver cirrhosis person.
( 6) Ascites patient often can present ascites, appear morning and evening in ascites, the intersection of belly and amount of water yield, ask size and take place number of times to be different because of people repeatedly when the continuation after the liver cirrhosis. Generally speaking the belly is the larger in water yield, the more repeated number of times is, the prognosis is bad. The reason of the ascites appears in liver cirrhosis, it is that serum is (white) at first The albumen is lowered and caused the colloid of blood to permeate and press and lower and made the moisture permeate through the abdominal cavity; Secondly it is liver cirrhosis that causes the venous pressure of the door to increase, promote the moisture to leak to the abdominal cavity; In addition, it is one of the reasons that the lymphocytic liquid of liver overbalances and the renal function is bad. Should look for the reason to the liver cirrhosis ascites conscientiously, take and treat the measure actively, once amalgamate spontaneous peritonitis, the prognosis is extremely critical.
( 7) The veins beneath the skin of variceal belly wall of belly wall are generally invisible, with the progress of liver cirrhosis, it is variceal to present the belly wall at various degrees, it regards umbilicus as the centre, the shallow vein breaks out and expands around, similar to earthworm, to radioactive distribution all around, the above-mentioned belly walls are seen more. Reason its the intersection of portal vein and high pressure, silt up blood in portal vein, let outlet answer heart separately, the belly wall vein is a route among them, so it is variceal to cause the belly wall.
( 8) More than half of patients of splenomegaly liver cirrhosis have splenomegaly. Splenomegaly is variceal and the same as the belly wall, it is caused by high pressure of portal vein.
( 9) The liver changes early liver swollenly to mostly present smooth, medium-sized degree hard; The liver narrows, hard, the surface is not unsmooth in later period, can touch swelling tubercle sometimes while touching. A large amount of fatty infiltration exists in early days in liver cirrhosis, the liver increases, later period because the fat changes the sex to reflect with inflammation that disappears, it is organized shrinking with the fiber that liver essence cells are reduced, the liver dwindles and becomes hard.
( 10) Liver cirrhosis often generates heat to behave in later period to generate heat, the heat type is indefinite, rely mainly on the fact that it is low, intermediate to generate heat, mostly between 37.5- 38.5 . In order to lose compensating liver cirrhosis to see more, this may result from the reason that the material released when because of hepatocyte necrosis influence the regulation center of body temperature, or liver function fails, can't deactivate the cause of causing hot sex hormone. This kind generates heat and employs antibiotic to be invalid, can disappear when hepatopathy take a favorable turn only. If the lasting hyperpyrexia appears, it has complication to exist that the majority is pointed out; In addition may also be with suffering from abdominal pain, should watch out for phlebitis of door, cholecystitis, gall stone disease,etc., so not return the hyperpyrexia of liver cirrhosis and can't neglect, should look for the cause of disease to deal with in time, otherwise will bring out the massive haemorrhage, ascites to increase rapidly, hepatic coma,etc..
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