When should patients with liver cirrhosis hospitalized?
In general, the stable period in patients with cirrhosis may be at home resting or doing light work. However, patients with liver cirrhosis, such as encountered in the following situations should be promptly hospitalized in order to avoid serious consequences.
A bleeding tendency. Patients with liver cirrhosis often have bleeding, manifested as gastrointestinal bleeding and the skin, mucous membranes, nose and gum bleeding. Gastrointestinal bleeding in general not easy to find, if the positive fecal occult blood test, the mean intestinal bleeding in 5 ml of the above; if they see the tar-like, the amount of bleeding in 50 ml or more, this time should be admitted to hospital for further examination and treatment . Patients with liver cirrhosis in the final 1 / 3 of people over the bleeding, the first hemorrhage mortality rate up to 20%, repeated bleeding mortality rate above 80%, five-year survival rate of only 35%. Therefore, we should place great emphasis on patients and their families? Ulcer, gastric erosion and so on. Another recent recurrent nose bleeding, bleeding when brushing your teeth, skin bleeding point, is due to dysfunction caused by blood clotting, suggesting deterioration of liver function should also be admitted to hospital for further examination.
2, altered mental status, and directional force and calculation obstacles. This may be a precursor to hepatic coma. Patients may first appear emotional changes, such as excited, and articulate vague, irritability, a move disorders, multiple words, insomnia, comprehension, memory and computing power receded, slow or inaccurate answer questions, trance, there may be serious mental disorder. In patients with liver cirrhosis the performance of different pre-coma, so family members should carefully observe abnormal time for seeing the patient in hospital. If entering a coma period, the treatment will increase the difficulty.
3, liver function deteriorated. Patients with liver cirrhosis of liver function tests should be on a regular basis. If patients with liver cirrhosis develop jaundice or jaundice sudden increase is relatively stable, suggesting that a new liver cell damage, should be promptly hospitalized. If the jaundice was progressively increased, accompanied by gastrointestinal symptoms, such as a high degree of loss of appetite, nausea, vomiting, abdominal distention, and oliguria, etc., indicating the remaining normal liver cells appeared necrotic. Are also some patients with liver cirrhosis, after repeated testing only mild jaundice, no other obvious abnormality, you do not have to worry. This is due to necrosis of liver cells after the formation of regeneration nodules of varying sizes and oppression of intrahepatic bile canaliculi to bile reflux into the blood of poor discharge reasons.
4, intractable abdominal distention. Patients with liver cirrhosis easy to onset of abdominal distension, which is due to cirrhosis of the liver caused by portal vein pressure increased, so that congestion of the gastrointestinal tract edema and abnormal secretion of digestive juice, so that bad digestion and absorption of food in the gut fermentation, corruption, gas production and the onset of abdominal distension . Properly adjust their diets, taking some Zhuxiaohuayao objects, but progressive increase in less abdominal distention is a sign of disease progression; if the same time, decreased urine output, suggesting that there should be ascites or ascites to increase rapidly. At this time seriously looking for an incentive to stay in hospital to facilitate the treatment.
5, co-infection. Weak resistance patients with liver cirrhosis, immune function, neutropenia, it is easy to co-infection. If patients with liver cirrhosis persistent fever or high fever, is a sign of infection should be admitted to hospital for further examination and treatment. Some of the patients due to physical weakness, fever and other symptoms of infection may from time to typical, easily overlooked, if not promptly treated, may lead to rapid deterioration of liver function and promote hepatic coma and hepatorenal syndrome. Decompensated cirrhotic patients, should attach great importance to this issue.
6, abdominal pain. Abdominal pain in patients with cirrhosis admitted to hospital when a timely check. Liver cirrhosis caused by abdominal pain are many reasons, such as primary peritonitis, portal vein thrombosis, portal vein thrombosis and surgical complications. Pairs of abdominal pain must not be to the effect, we should seriously find out why. Abdominal pain in liver cirrhosis in order to the most common primary peritonitis, the most serious consequences. According to statistics, the incidence rate of about 10%, which is an important cause of death in patients with cirrhosis of the liver one of the reasons. Typical symptoms are abdominal pain accompanied by fever, nausea, vomiting or abdominal tenderness and so on. Experts have pointed out, cirrhosis complicated by peritonitis, the symptoms typically only half of those. Therefore, this complication should be highly vigilant.