How to be a kind of liver?
For example, check out what these targets to achieve what extent? Details! Thanks
Answer:
Liver / cirrhosis of the diagnostic criteria which
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Cirrhosis of the diagnostic criteria which
Cirrhosis of the liver disease is the performance of the latter, in addition to the clinical diagnosis, should also check the following:
1. Laboratory
Serum A / G ratio, alanine aminotransferase (ALT or GPT), aspartate aminotransferase (AST or GOT), r-Valley GGT, ALP, prothrombin time and prothrombin activity, serum bile red Su, AFP, blood platelet count, cholesterol, blood urea nitrogen, creatinine, blood sugar, such as hepatitis B and the RIA detection.
Cirrhosis serum A / G ratio is very important to reduce albumin / globulin increased with the development of the disease, serum albumin at the same time reduce the A / G ratio inversion, to determine the extent of liver disease itself. Chang mildly elevated aminotransferase, AST often approach or exceed the ALT. Cholesterol and fat can be reduced, r-Valley GGT and ALP can be increased, prothrombin time, thrombocytopenia, a small number of patients with alpha-fetoprotein can be increased by about 20% to 30% of the patients blood sugar can be Rise. In the period of decompensation hypersplenism, the more obvious indicators of the above. Serum bilirubin, and indirect bilirubin increased in cirrhosis of the show is still inflammatory activity. The higher bilirubin may be complicated by liver necrosis and liver tumor outside the liver or cause obstruction, should be distinguished. Have liver or kidney dysfunction syndrome, blood urea nitrogen, creatinine can be increased.
2. Imaging
B-ultrasound: a correct response to the liver changes in the structure of the internal organization. Including the edge of the liver, liver shape, echo the liver and blood vessel changes. However, there are about 1 / 3 of the liver ultrasound revealed no abnormalities. In the super-B prompt cirrhosis, the liver increases image can also be reduced, more often for the right to narrow leaves, leaves the left end and larger leaves, not only the entire surface of the liver, irregular, or even like Chengbo Lang. In real terms in the liver often uneven in the dense echo spot in the district and uneven distribution of enlargement, which was the integration of irregular patchy. Fuzzy intrahepatic blood vessels, narrowing. However, clearly shows that the portal vein, inferior vena cava and the artery, portal vein widened more than 1.3CM, have prompted portal hypertension.
Splenomegaly Leixia failed to reach those who, B-chao can make the right measurement. A small amount of ascites was unable to find out who percussion, B can be found in Chao. Ultra-B can be found above 1CM lesions. Tumors, cysts and abscesses, according to the nature of the echo easy to identify. Cirrhosis of the large nodules may be mistaken for lesions, even with increased AFP, be careful to identify. Ultra-B is also the main value of the diagnosis of liver cirrhosis complications, that is, portal hypertension and ascites, and liver and extrahepatic biliary blockage of identification. General cirrhosis B ultrasonic examination on a regular basis should be 1 to 3 months time, in order to observe the dynamic changes in the liver.
CT scan: A series of consecutive cut, the organization can be a three-dimensional image impression, and obesity, intestinal gas does not affect the inspection, a higher resolution. Can be found below 1CM small lesions. At the same time also showed that adjacent organs (kidney, pancreas, spleen) and the enlargement of the retroperitoneal lymph nodes, and so on.
CT can distinguish between cirrhosis of the liver deformation, the blunt round shape, the size of the cases of liver disorders, in particular, leaves the left end of leaf increase, splenomegaly, the outer edge of more than 5 rib unit, ascites was around the low-density liver Wai Shadow. However, CT alone can not determine the diagnosis of cirrhosis, to be combined with other detection of liver cirrhosis in order to make the right judgments.
3. Fiber endoscopy
Mainly to check the esophagus and the stomach of any varicose veins and varicose extent, prompted in esophageal and gastric vein severe varicose veins, bleeding can occur at any time, should attach importance to prevention. At the same time can also be found in stomach inflammation and ulcers, and so on.
