判断肝硬化的指标有哪些 王金臣 徐州矿务集团总医院 скачать в хорошем качестве

判断肝硬化的指标有哪些 王金臣 徐州矿务集团总医院

判断肝硬化的指标有哪些 王金臣 徐州矿务集团总医院 1、肝脏形态：通过B超或CT等检查观察肝脏形态。如果影像学检查提示肝脏缩小，肝表面明显凹凸不平，锯齿状或波浪状，肝边缘变钝，肝实质回声不均、增强，呈结节状，门静脉和脾门静脉内径增宽，肝静脉变细，扭曲，粗细不均，腹腔内可见液性暗区，提示肝脏硬化严重。2、有无并发症：如果患者仅有轻度乏力、食欲减退或腹胀症状，alt和ast可异常，但尚无明显肝功能失代偿表现。3、肝功能情况：如果患者肝功能基本正常，无明显黄疸，白蛋白正常，凝血酶原活动度基本正常，血常规仅有轻度异常，表示肝硬化处于静止期，病情相对稳定，医学上称之为“静止期肝硬化”，病情相对较轻。如果肝硬化患者的肝功能异常，白蛋白低，凝血酶原活动度较低，胆红素显著升高，医学上称之为“活动性肝硬化”，此时多提示病情较重。 What are the indicators of liver cirrhosis 1. Liver morphology: observe the liver morphology by B-ultrasound or CT. If the imaging examination indicates that the liver is shrunk, The surface of liver was obviously uneven, Serrated or wavy, The margin of the liver becomes blunt, The echo of liver parenchyma is uneven and enhanced, It is nodular, The diameter of portal vein and splenic portal vein was widened, The hepatic veins become thinner, Distortion, Uneven thickness, In the abdominal cavity, there is a liquid dark area, It is suggested that liver sclerosis is serious. 2. Complications: if the patient has mild asthenia, anorexia or abdominal distention, ALT and AST are abnormal, However, there is no obvious decompensation of liver function. 3. Liver function: if the patient's liver function is basically normal, No obvious jaundice, Albumin is normal, Prothrombin activity was basically normal, The blood routine was only slightly abnormal, It means that the liver cirrhosis is still, The condition is relatively stable, It is called "static cirrhosis" in medicine, The condition is relatively mild. If liver function is abnormal in patients with cirrhosis, Low albumin, Prothrombin activity was low, Bilirubin increased significantly, It is called "active cirrhosis" in medicine, At this time, the disease is more serious.