Thursday, March 6, 2008
Alcoholic hepatitis which clinical performance?
The disease can be no early symptoms, but have pathological changes in liver, often prior to the onset of drinking heavily within a short history, significant weight loss, loss of appetite, nausea, vomiting, weakness general malaise, fever, abdominal pain and diarrhea. upper gastrointestinal bleeding and psychological symptoms. Signs of jaundice, hepatomegaly and tenderness, while splenomegaly, looking gray hair, ascites edema and spider angioma, esophageal varices. From the laboratory, anemia and neutrophils increased, the volume of red blood cells (MCV) of more than 95 FL, Serum bilirubin increased, up to 17.1 μmoL / L or more, moderately elevated aminotransferase often greater than 2.0, Determination of mitochondrial AST (mAST) and its total AST (tAST) ratio, its increased up 12.5 +5.2%. And γ-GT, glutamate dehydrogenase and alkaline phosphatase activity increased prothrombin time.
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