Observation and nursing cirrhosis.docVIP

 PAGE \* MERGEFORMAT 9 Observation and nursing cirrhosis [Keywords:] liver cirrhosis Cirrhosis of various long-term lack of effective treatment of chronic liver disease or liver cells caused by several causes repeated damage, liver tissue hyperplasia, the normal lobular architecture, and vascular morphology were destroyed, leaving serious damage of liver cell morphogenesis changes, detoxification, and reduces compensatory function to a corresponding clinical manifestations. cirrhotic ascites complicated illness, timely observation and care is very important [1]. 1 Clinical data 1.1 General Information The group of 78 patients, including 62 males and 16 females, aged 26 to 72 years, mean age 42.3 years, with a history of chronic hepatitis in 52 cases, 4 cases a small amount of ascites, volume of ascites in 25 cases, 49 cases of massive ascites. 1.2 of liver function All cases were hepatitis B through two pairs of semi-, B extra fine examination, diagnosed as chronic viral hepatitis, liver cirrhosis after hepatitis B, according to the diagnostic criteria, Zhongshan Hospital of ascites type (hospital world .ALB 30g / L for the 42 patients, ALB 35g / L for the 36 patients; TbiLgt; = 54.3mol / L for the 54 patients, TbiLgt; = 17.1mol / L for the 24 cases. ALTgt; = 120U / L for the 45 patients (ALT normal lt;40U / L), A / G lt;1.0 for the 50 cases, A / G 1.5 in 28 cases. cirrhosis of liver tissue is a kind of indemnity pseudolobules trailing fibrosis and regenerative nodules in chronic liver disease characterized by the formation, multiple system involvement clinically. ascites is the most prominent clinical manifestations of liver cirrhosis, decompensated patients with ascites more than 25%, mainly due to increased venous pressure and plasma albumin and other factors, a large number of ascites can be difficulty in breathing, heart palpitations , umbilical hernia, lower extremity edema, abdominal distension was frog-shaped belly, bringing pati