Wednesday, November 7, 2007

Alcoholic fatty liver clinical performance

First, symptoms Fatty liver more asymptomatic mild, moderate and severe fatty liver in chronic hepatitis may show similar performance, such as systemic mild discomfort, burnout, easy fatigue, abdominal discomfort, nausea and vomiting, loss of appetite, abdominal distension, etc., a few patients have fever, diarrhea, limb numbness, sexual function diminish, such as male impotence. Second, signs Most good nutritional status, have obesity, and some patients have hepatomegaly, spleen little more. AFL (alcoholic fatty liver) patients with severe rarely cholestasis. ALD the United States a large-scale collaborative research shows that only 19% of patients with organized AFL performance of cholestasis, and the incidence of jaundice is as high as 31 percent, and the histological AFL cholestasis and whether there has been unrelated to liver cirrhosis. Sino-Japanese Friendship Hospital 15 cases of fatigue, abdominal distension, liver District pain each 67 percent; limbs, numbness, sexual dysfunction each 47 percent; impotence accounted for 40 percent hepatomegaly three cases Station 20%, of which one case of moderate liver fatty liver large 4 cm, the other one case of severe fatty liver big 9 cm. Third, laboratory examinations Laboratory examination of liver function abnormalities, depending on the degree of fatty invasion, the scope may be. The mild fatty liver can no significant laboratory abnormalities, severe fatty liver, there will be the ALT, AST and GGT, blood red bile quality (BiL), and triglyceride (TG) of mild to moderate increase. In the absence of alcohol in patients with TG increased significantly.

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