The manifestation _ symptoms of the other systems of whole body of liver cirrhosis

The manifestation _ symptoms of the other systems of whole body of liver cirrhosis
(1) Digestive system 1. Peptic ulcer the intersection of disease and chronic hepatopathy amalgamate someone, patient of peptic ulcer, call that the intersection of liver and source the intersection of ulcer and disease (hepat '; -genitlc ulcer) ,Its morbidity 15% - 30% , It is far taller than the general crowd. Most patients have no clinical symptom of model. The statistical data indicates, duodenum ball ulcer accounts for 80%. And liver source ulcer relates to pathological change intensity of liver, it is chronic it is serious disease hepatitis and liver cirrhosis liver source ulcer high to reach 50 in morbidity in disease, patient of Child C grade /-7 (. 0. S. Liver source ulcer and disease have illness coming on the mechanism does not know very much, may be that the new film of stomach attacks factor strengthening and defence and protects the group in the multifactor result that acts on together of subsiding yet. 2. The disease morbidity of gall stone of liver cirrhosis patient of of gall stone increases, as 20% - 30) . ,Mainly bile pigment forms 6, to relating to the fact that haemolysis and bile pigment excrete the obstacle. Clinical manifestation is not typical. 3. Nearly all liver cirrhosis patients have chronic cholecystitis in chronic cholecystitis, most patients are non- bacterial, do not have characteristic manifestation clinically; Lacking some patients has the upper abdomen in dull pain and uncomfortable or liver uncomfortable districts. 4. The high pressure disease morbidity of intestines of portal vein is 30% - 40% , Lacking the specific manifestation clinically, some patients can suffer from diarrhoea, have blood in one's stool etc.. It has illness coming on the mechanism may be similar to portal vein high pressure stomach trouble.
(2) Endocrine system 1. Unusual, diabetic liver cirrhosis patient of the sugar tolerance 60% - 80% There is unusual sugar tolerance, among them 15% - 20% Can be shown as obvious diabetes, someone calls that liver source diabetes (hepatogenitic diabetes) . Most liver source diabetics do not have typical clinical manifestation, lacking some patients can have drinking thirstily and more and chronic renal function not congruent diabetes complication to behave. It is and the main reason of liver source diabetes that the sugar tolerance is unusual that insulin of liver cirrhosis is resisted. 2. The hypoglycemia hypoglycemia exists and briefs a liver cirrhosis patient on at least more than 80% of the hepatocytes to lose the function, it is liver cirrhosis patient's signal with depleted liver function in later period, but if amalgamating bacterial infection, hepatocarcinoma, the hypoglycemia can also take place. Clinic can be shown as palpitation, sweat, even go into a coma. Other 3 is like the thyroxine of serum T3 reduces, rT3 increases, and the serum thyrotropin level is normal; Have no model to behave clinically. (3) Nervous system 1. Liver encephalopathy sees relevant chapters. 2. Liver spinal disease The liver disease incidence of spinal is 0. 1% - 10% . Besides manifestation of liver cirrhosis, mainly lasting nervous system is unusual in clinic, shown as convulsion paraplegia of a pair of lower extremities, the disease is slow that get up, but the going on is aggravated, do not accompany feeling obstacle and amyotrophy. The mechanism and extensive collateral circulation of high pressure of portal vein of liver cirrhosis takes place and take shape in it, the poisonous substance of ammonia of high blood and other supersession rises and has something to do continuously. (4) Respiratory system 1. Liver lung syndrome sees relevant chapters. 2. The high-pressure incidence about l% of lung artery of liver cirrhosis patient of artery hyperbarism of lung, the portal vein shunts the postoperative incidence higher, clinical manifestation pained, fainted, lacked some patients and spat blood in the district for dyspnea, before the heart, can be heard among the second rib of left reason of brestbone and the noise, the two second are moved blue and green and hyperfunction, its reason is not clear, may have something to do with the portal vein under high pressure. (5) Urinary system 1. Liver kidney syndrome sees relevant chapters. 2,His incidence is 5% - l0% that the B-mode hepatitis virus is correlated with a nephritis, it is the three type allergy that the B-mode hepatitis virus causes that the mechanism happens. Mainly shown as urine albumen, hematuria early and clinically; It is depleted that can present nitrogen blood disease and renal function in later period. 3. " kidney of jaundice " Mean kidney trouble caused by the fact that bile acid or bile salt is deposited in the renal tubule, called on pathology " Yellow subcutaneous ulcer " Kidney. Do not have specific manifestation clinically. So diagnose the difficulty. (6) Cardiovascular systemLiver cirrhosis patient light to circulate state all over vast the intersection of systemic circulation and high power, the intersection of blood plasma and capacity increase one their stand, increase for the discharging amount of heart specially. The resistance of peripheral blood vessel is reduced. Clinical manifestation, for hand heating, capillary beating, tachycardia and hypotension,etc.. Lacking some chronic hepatopathy patients can erupt nodular many arteritis simultaneously. Its reason relates to three type allergy that HBsAg cause; Clinical manifestation damage systematically more for cardiac dilatation, the intersection of heart and the intersection of function and complete, hypertension, myalgia,etc..
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