Although the diagnosis of liver cirrhosis, although the early symptoms of liver cirrhosis are not obvious, or the symptoms of liver cirrhosis are complicated, it is generally not difficult to confirm the diagnosis. It should be noted that the early symptoms of the early diseases of liver cirrhosis are not obvious. It is easy to be ignored by patients. Therefore, it is recommended that high -incidence people with liver cirrhosis perform physical examination appropriately. This is the key to discovering early liver cirrhosis diseases. It should be noted that although liver cirrhosis cannot be completely cured at present, it is timely. Diagnosis and timely treatment can also effectively control the condition.
Diagnosis of liver cirrhosis
1. Compensation period
The history and symptoms of chronic hepatitis are available for reference. If there are typical spider moles and liver palms, they should be highly suspected. The liver texture is harder or non -smooth, and (or) the spleen large> 2cm, hard, without other reasons, is the basis for diagnosis of early liver cirrhosis. Liver function can be normal. Protein electrophoretic may be abnormal, and elevations of monoclonal amin oxidase and serum P-Ⅲ-P can help diagnose. If necessary, liver penetration or laparoscopic examination is used to confirm the diagnosis. Liver function experiments: mild abnormalities during compensation, decreased serum protein in the loss -compensation period, rising globulin, A/G inverted. The original time of coagulant is prolonged, and the original activity of coagulant is reduced. Rising transaminase and bilirubin. Total cholesterol and cholesterol decreased, and blood ammonia can rise. The metabolism of amino acids is disordered, and the proportion of the branch/Fang is disordered. Elevated urea nitrogen and creatinine. Electrolytic disorders: low sodium, low potassium.
2. Discovery period
Symptoms, signs, and laboratories have significant performance, such as peritoneal effusion and esophageal veins. Obviously, the spleen mollus has great spleen function and abnormal liver function examination, etc. It is not difficult to diagnose. But sometimes it needs to be identified with other diseases. Liver cirrhosis is often killed by causing complications. The upper gastrointestinal bleeding is the most common complications of liver cirrhosis, and hepatic encephalopathy is the most common cause of death for liver cirrhosis. Hepatogenous brain disease, hepatitis, primary liver cancer, liver and kidney syndrome, door vein thrombosis, respiratory injury, and abdominal effusion.
3. Differential diagnosis
1. Hepatos and spleen enlargement: such as hepatoplasty caused by hematological and metabolic diseases, liver puncture biopsy can be performed if necessary. 2. Overseas effusion: There are many causes of peritoneal effusion, such as tuberculosis peritonitis, narrowing pericarditis, chronic glomerulonephritis, etc. According to the medical history and clinical manifestations, related examinations, and abdominal effusion tests, it is not difficult to identify with liver cirrhosis. 3. Different diagnosis of liver cirrhosis complications: such as upper digestive tract bleeding, hepatic encephalopathy, liver and kidney syndrome, etc.
