What does liver cirrhosis do

summary

Once when chatting with Lao Wang, I heard that one of his colleagues had liver cirrhosis. There are symptoms of hepatitis, as well as mild fatigue, abdominal distension, mild enlargement of liver and spleen, mild jaundice, liver palms, spider nevus and other symptoms. The doctor advised him to do the treatment quickly. What examination does liver cirrhosis do below talk about.

What does liver cirrhosis do

First: laboratory examination: blood routine. Hemoglobin (hemoglobin), platelets and white blood cells decreased. Liver function test. In the decompensated stage, serum protein decreased, globulin increased and a / G ratio reversed. Prothrombin time prolonged and prothrombin activity decreased. Transaminase and bilirubin increased. Total cholesterol and cholesterol lipid decreased, blood ammonia increased. Amino acid metabolism disorder, branch / aromatic ratio imbalance. Urea nitrogen and creatinine increased. Electrolyte disorder: low sodium, low potassium.

Second: imaging examination: X-ray examination of esophageal and gastric fundus barium contrast, visible esophageal and gastric fundus vein worm like or earthworm like varices. B type and color Doppler ultrasound examination showed that the liver capsule was thickened, the liver surface was not smooth, the echo of liver parenchyma was enhanced, rough and uneven, the diameter of portal vein was widened, splenomegaly and ascites. CT examination. The proportion of each lobe of the liver was abnormal, the density was decreased, and nodular changes were observed. The hepatic hilum was widened, the spleen was enlarged, and ascites was found.

Third: liver biopsy: liver biopsy can be diagnosed. Laparoscopy: it can directly observe the liver, spleen and other abdominal organs and tissues, and can take biopsy under direct vision, which is valuable for those who are difficult to diagnose. Portal vein pressure measurement: wedge pressure and free pressure of hepatic vein were measured through jugular vein intubation. The difference between them was HVPG, which reflected portal vein pressure. Normal blood pressure is less than 5 mmHg, and portal hypertension is more than 10 mmHg.

matters needing attention

In the early stage of liver cirrhosis, if it is found in time and treated immediately, it is of great help to improve the condition. The patients themselves should also pay attention to diet, reasonably supplement nutrition to the body, and do not drink alcohol. It is better to completely ban alcoholic beverages, and strengthen health care.