乙肝肝硬化并发症的处理.pptVIP

Treatment of Hepatic Encephalopathy Identify and treat precipitating factor Infection GI hemorrhage Prerenal azotemia Sedatives Constipation 乳果糖Lactulose (adjust to 2-3 bowel movements/day) Protein restriction, short-term (if at all) TREATMENT OF HEPATIC ENCEPHALOPATHY 肝性脑病临床处理流程图 AASLD. Postgraduate course 2009. Morgan T. Update in the Diagnosis and Management of Decompensated Cirrhosis. Hepatitis Annual Update 2009. 肝细胞性肝癌 筛查手段：AFP、B超 若B超发现肿块： 1cm → 3-4个月复查B超 1-2cm →给予另外2种检查 2cm →给予另外1种检查 治疗：根据肝癌的分期 典型 不典型 不典型 典型 活检 治疗 AASLD. Postgraduate course 2009. 针对病因的治疗 HBV DNA水平与肝硬化发展呈强相关 Iloeje