Tuesday, March 4, 2008
Hepatitis deterioration and complications omen
Personality and behavior hepatitis patients suddenly appeared abnormal sexual neuropsychiatric changes From character abnormal sleepiness to abnormal behavior, said there are hepatic encephalopathy, or hepatic coma phenomenon. Such patients poisoning caused by central nervous system, critical illness, high mortality, should immediately rescue. Continuous low-grade fever early viral hepatitis may have low-grade fever, but should be shortly after the onset dissipated. If low-grade fever persists, particularly in the jaundice few days later still exists, that hepatitis is deteriorating trend. Clinical Tip: ① patients toxaemia exist. ② liver cell necrosis of a possible, that is to subacute hepatic necrosis omen. Jaundice is deepening jaundice liver cell dysfunction severity of the sign. If a patient urine color gradually deepened, it is tinted, sclera, skin stained yellow from orange into gold or yellow, the liver cell failure, indicates serious condition. Gastrointestinal symptoms gradually worsened hepatitis patients can have lack of appetite, dislike oil, nausea, vomiting, abdominal distension, and other gastrointestinal symptoms, one week after treatment by the general should be reduced. If the appetite even worse, there intractable nausea, vomiting, hiccup, abdominal distention and other performance, increasing signs of hepatitis, liver cell necrosis degeneration. A hepatitis patient bleeding gums bleeding, epistaxis, skin or mucosa plaque deposition hematemesis or hematochezia, and said coagulation dysfunction, also reflect the severity of damage to liver cells, liver cells to failure marks. Ascites ascites hepatitis patients to have access to the hepatitis cirrhosis stage. The decrease in plasma albumin, increased portal pressure, kidney perfusion decreased, resulting in possible infection, gastrointestinal bleeding, kidney failure, complications such as water and electrolyte disturbance.
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