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重点讨论成人非胆汁性肝硬化。背景:酒精、乙型肝炎病毒和非甲非乙型肝炎病毒(与输血有关)是三种最常见的原因。经常要考虑自身免疫,血色素沉着症和威尔逊氏病,还有很多是隐原性的。表现:1.通过内、外科常规检查,或常规生化试验发现;2.全身乏力;3.踝部水肿,鼻出血;4.代偿夫调,腹水、黄疸,精神变化和各种出血;5.对以前确诊的慢性肝炎进行随诊。临床:注意营养、皮肤特征,精神状态,肝、脾、腹水和水肿。对儿童的水肿要分度。生化:血清胆红素,谷草转氨酶,γ——谷氨酰转肽酶、碱性磷酸酶,各种球蛋白、清蛋白和血糖。
Focus on adult non-biliary cirrhosis. Background: Alcohol, hepatitis B virus and non-A non-B hepatitis virus (associated with blood transfusions) are the three most common causes. Often consider autoimmune, hemochromatosis and Wilson’s disease, and many are cryptogenic. Performance: 1. By internal and surgical routine examination, or conventional biochemical test found; 2. General malaise; 3. Ankle edema, epistaxis; 4. Compensatory husband, ascites, jaundice, mental changes and various bleeding; Follow up on previously diagnosed chronic hepatitis. Clinical: pay attention to nutrition, skin characteristics, mental status, liver, spleen, ascites and edema. Children’s edema should be sub-degree. Biochemical: Serum bilirubin, aspartate aminotransferase, γ-glutamyl transpeptidase, alkaline phosphatase, various globulin, albumin and blood sugar.