肝脏疾病（Liver disease）.docVIP

肝脏疾病（Liver disease） The liver is the largest digestive gland in the body, and is the center of systemic metabolism. Complex and complex, the synthesis, transformation, storage, decomposition and excretion of many substances needed in life occur in the liver. The anatomical and physiological functions of the liver (1) anatomy Four ligaments (triangular, coronal, sickle, and round ligament) Three liver doors: The part of liver (liver surface) liver A, portal V, bile duct in and out of the liver; The second hepatic portal (hepatic phrenic) hepatohepatic, hepatic, left hepatic vein after liver The part of the inferior vena cava; The inferior hepatic vein enters the inferior vena cava. 1. The anatomy and physiological functions of liver 1. The anatomy and physiological functions of liver Two piping systems: Glisson system: portal V, liver A, bile duct wrapped in connective tissue sheath, through the first hepatic portal into the liver parenchyma. Hepatic venous system: Gate V - liver lobe, liver segment V - small leaf V Arterial system: Hepatic A - liver lobe, liver segment A - lobular A 5 leaves (left, left, right, right, caudate) Eight, Microstructure of liver: liver cell, cord, liver sinus, liver lobule. Liver lobule is like football, is a polyhedral spherical small particle, everyone has eaten pig liver? Do you feel like the liver of a pig is like sand? Right, this grain feels like a liver lobule! A normal liver has about five to six million liver lobes Liver blood supply: liver A 25 ~ 30% oxygen 50% Gate V 70 ~ 75% oxygen 50% Hepatic total blood flow 1500ml/min (3) physiological functions 1. Secretion of bile: 600 ~ 1000ml/day to help the absorption of fat digestion and fat-soluble vitamins A, D, E and K. 1. The anatomy and physiological functions of liver 2. Metabolic function: convert carbohydrate, protein and fat into glycogen, store in liver, regulate and maintain blood glucose concentration. Protein metabolism: synthesis, deamination, transamination. Fat metabo