Monday, March 17, 2008

The performance of liver cirrhosis and portal hypertension

Cirrhosis develops to a certain stage, and gradually are shown some of the major clinical manifestations.
(1) splenomegaly: generally moderate swelling (it is normal for 2 to 3 times), and sometimes for splenectomy and to a left abdominal discomfort and pain, Zhang Man, with white blood cell, red blood cell and platelet decrease in the number of , said hypersplenism.
(2) the establishment and opening of collateral circulation: the portal vein and vein in a wide range of traffic between the branch in portal hypertension, in order to enable the portal vein system in the stasis of the blood returned, with a large number of traffic open, the expansion or varicose vein and systemic venous anastomosis and the establishment of a collateral circulation. ① mainly with the lower esophageal varices; ② umbilical around the abdominal subcutaneous varices; ③ veins and hemorrhoids, hemorrhoids venous anastomosis in the form Zhihe, ④ other: liver to the diaphragm paraumbilical vein, and net splenorenal ligament The intravenous membrane, or lumbar vein after abdominal vein.
(3) Ascites: liver cirrhosis and portal hypertension is the most prominent clinical manifestations, abdominal uplift, I feel abdominal distention. Revealed an advanced liver disease.

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