, the author once saw a middle-aged male patient with liver cirrhosis and ascites in the Department of Internal Medicine. His bloated belly and the large mouth of vomited blood were unforgettable.
On the day he was admitted to the hospital, his wife came with him. The patient looked gloomy and said he felt very tired, had chest tightness, nausea and vomiting from time to time, abdominal distension, poor appetite, itchy skin, oliguria, and had recently been suffering from diarrhea and occasional black stools.
asked him to lie down, and a physical examination revealed: multiple spider nevus visible on the neck and upper chest, liver palms, abdominal distension, resembling a frog belly, abdominal wall varicose veins, and moderate edema in both lower limbs.
When I was percussing the moving dullness in the abdomen, he suddenly showed the desire to vomit and whispered, "Nasty, I really want to vomit..."
Before I could react, a large mouthful of blood spurted out of his mouth. When I came out, the sheets and the ground were instantly dyed red, and the strong smell of blood stimulated my senses. . .
To be honest, I was frightened at the time. I paused for a second or two, immediately turned his head to one side, and urgently notified the teacher.
reported a serious illness, ECG monitoring , stopped bleeding, replenished fluids, expanded volume, and boosted blood pressure. . . After a series of rescue operations, the patient's condition was finally relatively stable and his consciousness recovered. We informed the patient and his wife about the condition in detail, and they expressed understanding and were mentally prepared. . .
His wife was in pain and repeatedly said that it was all his fault! After being married for more than 30 years, I have been trying to persuade him to stop drinking, but he is addicted to alcohol. He drinks 5-6 taels of white wine every day, which hurts his stomach. . . He was diagnosed with liver cirrhosis a few years ago. The doctor also told him to stop drinking many times. However, he was too addicted to alcohol and did not stop drinking. He drank secretly from time to time. . . Over the past year, his belly has grown bigger and bigger, and his mental state has deteriorated a lot. She guessed that his condition is getting worse.
Liver cirrhosis is a common clinical chronic progressive liver disease and is the late stage of the development of various chronic liver diseases . Pathologically, it is characterized by diffuse fibrosis of the liver, regenerative nodules and pseudolobule formation.
Most cases are caused by viral hepatitis, and some are caused by alcoholic cirrhosis and schistosomiasis cirrhosis. Fatty liver, long-term cholestasis, improper use of drugs or poisons, etc. can also lead to cirrhosis of the liver.
The liver has a strong compensatory function . patients generally have no obvious symptoms in the early stage of . If it continues to develop, it will enter the decompensation period, manifesting as liver damage and portal hypertension syndrome.
Such as fatigue, weight loss, loss of appetite, abdominal distension, gastrointestinal dysfunction , purpura , spider nevi, liver palms, edema of both lower limbs, oliguria, abdominal effusion, etc. Manifestations of liver damage; splenomegaly , hypersplenism , esophageal-gastric varices , abdominal wall varicose veins, etc. portal hypertension manifestations.
Liver cirrhosis has many complications, common ones such as hepatic ascites, upper gastrointestinal bleeding, hypersplenism, infection, portal thrombosis, hepatic encephalopathy, primary liver cancer, Hepatopulmonary syndrome , hepatorenal syndrome and so on.
Due to the degeneration, necrosis and regeneration of liver cells, it promotes fibrous tissue proliferation and scar shrinkage, causing the liver to harden and form cirrhosis, causing portal hypertension and leading to the production of ascites. This is the reason for the abdominal distension of the patient above.
Due to the high pressure in the portal vein, the return of venous blood to the liver is blocked, and the body compensates to establish collateral circulation, causing esophageal and gastric varicose rupture and bleeding, which can be life-threatening in severe cases. This also explains why the patient above vomited blood.
A small drink is pleasant, but a large drink is harmful to the body! !
Occasionally drinking a small amount of alcohol can relax the whole body and reduce fatigue. However, if you drink excessively for a long time, you will become addicted to alcohol and become alcohol dependent, leading to alcohol poisoning, which will be harmful to yourself and your family!
In addition, as mentioned earlier, the most common cause of liver cirrhosis is chronic viral hepatitis, so we encourage everyone to get vaccinated as soon as possible. If you are diagnosed with viral hepatitis or are a hepatitis virus carrier, you must go to a regular hospital for treatment in time!
