1 patient with advanced cirrhosis with diabetes mellitus tuberculosis patient care.docVIP

 PAGE \* MERGEFORMAT 11 1 patient with advanced cirrhosis with diabetes mellitus tuberculosis patient care [Keywords:] liver cirrhosis; diabetes mellitus; tuberculosis; clinical care; Experience Advanced cirrhosis of the liver caused by various reasons in order to diffuse liver fibrosis, regenerative nodule formation of false lobules and mainly chronic progressive liver disease. The main clinical manifestations of liver dysfunction and portal hypertension, irreversible, is harmful to human health and the common disease. advanced cirrhosis with diabetes mellitus, tuberculosis disease in patients with more complex and contradictory treatment, complications, in August 2009 our department treated 1 patient with advanced cirrhosis with diabetes mellitus, tuberculosis patients, after treatment and intensive care, patients in September 2009 her condition improved and was discharged, now reported as follows. 1 Clinical data Were male, 55 years old, because of repeated coughing, sputum increased 1 year 1 month 10 days scleral jaundice, in August 9, 2009 admitted to college. Were looking dull, chronic tolerance, facial telangiectasia, a angioma, scleral depth of jaundice, abdominal height of uplift, abdominal varicose veins, severe edema of both lower limbs, complained of mental fatigue, appetite normal, abdominal distension, aggravated after eating, accompanied by cough, sputum white mucus. Past history: There are more than 10 years history of alcoholic cirrhosis, 6 years history of diabetes, acid-fast bacilli sputum smear (+++). search to find the chest CT showed: the left lung field, see spots, patchy increased density of the shadow, border less clear, See a hole left lung, there is a small nodules within the soft tissue density lesions. to consider: secondary to pulmonary tuberculosis (-) / under on the 0. Abdominal ultrasound showed: a large number of intra-abdominal fluid. blood: WBC 15.84 109 / L, neutral 0.71 leaf granulocyte, red blood cell 3.49 10