When the liver cirrhosis patient should be in hospital _'s general knowledge
Generally speaking, steady issues of liver cirrhosis patient can stay at home and have a rest or do some light work. But the liver cirrhosis patient, like meeting the following situations, should be hospitalized for treatment in time, so as to avoid the serious consequence.
First, bleeding inclination.The liver cirrhosis patient often bleeds, it is shown as bleeding and bleeding of skin, mucous membrane, nose, gingivae of digestive tract. The general digestive tract is difficult to find to bleed on a small quantity, when it is positive to test stool occult blood, mean the intestine bleed more than 5 ml; See pitch kind, its bleeding amount should be admitted to hospital and accept that further check the treatment at this moment more than 50 ml. Over 1/3 of the people bleed finally in the liver cirrhosis patient, the first bleeding mortality reaches 20%, the mortality of repeated bleeding is up to survival rate is only 35% in more than 80%, five years. So patient and his relative should pay close attention to liver cirrhosis and bleed. Liver cirrhosis cause main reason that digestive tract bleed esophagus and fundus of stomach variceal and stomach, duodenal ulcer and stomach mucous membrane rotten, etc. Bleed appear nosebleed, brush teeth repeatedly recently in addition, skin bleed some, it is caused by blood coagulation dysfunction, brief on liver function to worsen, further check in conformity with being admitted to hospital too.
Second, mind change and directional strength, calculation strength obstacle.Omen of the hepatic coma may take place in these. The patient can present mood to change first, if is unusually excited, the ability to speak is ambiguous, irritable and irascible, the move is not normal, many, insomnia, comprehension, memory and calculation strength fail, it is obtuse or inaccurate, absent-minded to answer the question, the serious one can appear psychotomimetically. Liver cirrhosis patient's behavior with previous hepatic coma is not the same, so, it is observed that relatives should be careful, find abnormality and give hospital treatment to the patient in time. Such as enter, go into a coma issue, strengthen and treat the difficulty.
Third, liver function worsen.The liver cirrhosis patient should test liver function regularly. If the liver cirrhosis patient aggravates suddenly jaundice or relatively stable jaundice, briefing on the hepatocyte has new destruction, should be hospitalized for treatment in time. If jaundice is presented the going on and risen, and with digestive tract symptom, for instance high poor appetite, disgusting, vomits, when abdominal distension and urine are little,etc., necrosis appears again to explain the remaining normal hepatocyte. Also there are liver cirrhosis patients, there is slight jaundice only by numerous laboratory test, it are other obviously unusual not to have, needn't be weighed down with anxieties. This is after necrosis because of the hepatocyte, hepatocyte regeneration forms tubercle not of uniform size, oppress maos of detailed bile duct in the liver, make bile discharge smoothly to go against cause to flow into blood.
Fourth, obstinate abdominal distension.The liver cirrhosis patient is apt to present abdominal distension, this is because liver cirrhosis causes the pressure of portal vein to rise, make gastrointestinal extravasated blood edema and digestive juice secrete unusually, make the food digest and assimilate badly, ferment in intestine, corruption, produce angry appearing abdominal distension. Regulate the diet appropriately, take some and help and digest medicines, abdominal distension does not disappear instead the going on is aggravated, it is the sign that the condition worsens; If urine quantity is reduced meanwhile, present the ascites or already to brief on have ascites that will run up. Want, look for inducement conscientiously in hospital at this moment, so as to treatment.
Fifth, amalgamate and infect.The liver cirrhosis patient has weak resistance, the immunological function is reduced, the leucocyte is reduced, so apt to amalgamate and infect. If the liver cirrhosis patient presents generating heat continuously or hyperpyrexia, amalgamate the sign infected, should be admitted to hospital and further check and treat. Weak because of some patient physique, it can not be typical to generate heat etc. and is infected with symptom, it is easy to be ignored, if can not get and treat in time, will cause liver function to worsen rapidly, promote hepatic coma, liver kidney syndrome to take place. Lose the liver cirrhosis patient who compensates one, should pay close attention to this question.
Sixth, suffer from abdominal pain.The liver cirrhosis patient should admitted to hospital the inspection in time while suffering from abdominal pain. Cause the reason to suffer from abdominal pain to be numerous at the time of liver cirrhosis, such as primary peritonitis, door phlebitis, portal vein thrombus and surgery complication. Can't be careless with intense sorrow to the belly, look for the reason conscientiously. In liver cirrhosis suffers from abdominal pain, the primary peritonitis is the most common, the consequence is the most serious too. The statistics show, its morbidity is about 10%, it is one of the important reasons for causing liver cirrhosis patient's death. Its typical symptom suffers from abdominal pain companion's generating heat, sick, vomiting or belly tenderness,etc.. The expert points out, liver cirrhosis erupts peritonitis simultaneously, its model of symptom person is only half. So should highly watch out for this complication.
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