Saturday, January 12, 2008

Attention late in the treatment of cirrhosis

The incidence of liver cirrhosis in western Europe, North America, mainly to alcoholism in the Chinese mainland late hepatitis with cirrhosis of the most common, men aged 20-50 made. Liver cirrhosis, most of macronodular cirrhosis, if protracted course of slow, inflammatory lesions necrosis light, may also showed small nodular cirrhosis. Hepatitis B, hepatitis C to develop cirrhosis, a few months short persons, the elderly in 10, 20 years. Acute and subacute hepatic necrosis in patients can also allowed by the development of cirrhosis. In recent years, the proportion of alcohol increased, alcoholic cirrhosis has increased. Generally, cirrhosis of the liver must be formed to buy small degeneration and necrosis, liver fibrosis, pseudolobules formed in three stages. After the formation of liver cirrhosis, liver and outside it will inevitably result in portal blood-stasis, will increased portal pressure caused congestive splenomegaly, stomach, intestine, peritoneal deposit congestive collateral circulation and establish a series of other changes in portal hypertension. The cirrhotic ascites formation mechanism although very complicated, but the most fundamental factor for the protein in blood plasma decreased, it is cause sodium retention of the most important factors, and portal hypertension is to make major water retention in the abdominal approach. Cirrhosis ascites is in the advanced stages of liver disease, ascites in liver cirrhosis dissipated does not mean better, sometimes ascites Poly ran dissipated, can cause hepatic encephalopathy and other diseases of there. This can not be considered dissipated ascites, cirrhosis of the liver on healed. Clinical see, dissipated cirrhotic ascites, because eating festival, emotional volatility, personal or impermanence of modulating factors such as improper, in the short term pan-ascites were again all likelihood, worse can cause high fever, coma, bleeding, no urine, and other risk-from disease risk. Therefore, after cirrhotic ascites dissipated, should continue to attach importance to the treatment.

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