Examination of liver ascites

The examination of hepatic ascites is an important examination of liver ascites in patients with cirrhosis to a certain extent. When cirrhosis develops to a certain extent, the albumin is too low, the surrounding blood vessels are dilated, the effective blood volume is relatively insufficient, and the endocrine disorders, sympathetic disorders, lead to water retention, and the formation of ascites. The formation of ascites in cirrhosis marks the deterioration of the internal environment. Abdominal water often has abdominal distension before it appears. A lot of water makes the abdomen bulge, the abdominal wall is tight and shiny, and the shape is like a frog belly. The patient has difficulty walking, and sometimes the sputum is significantly elevated, and breathing and umbilical hernia appear. Some patients have pleural effusion, which is more common on the right side. It is caused by ascites entering the thoracic cavity through the sacral lymphatic vessels or through the flap opening. Basic Information Specialist classification: Digestive examination classification: liver function test Applicable gender: whether men and women apply fasting: not fasting Analysis results: Below normal: Normal value: no Above normal: negative: A negative result suggestion may be normal. Positive: Positive indicates that the subject may have liver disease such as cirrhosis. Tips: Actively cooperate with the doctor's work. Normal value No bloating, normal protein content in the body, normal endocrine system, no negative ascites. Clinical significance Abnormal results in the body of albumin is too low, peripheral blood vessels dilate, effective blood volume is relatively insufficient, combined with endocrine disorders, sympathetic disorders, resulting in water retention, the formation of ascites. The formation of ascites in cirrhosis marks the deterioration of the internal environment. The people in need of examination have patients with cirrhosis and hepatic ascites. Positive results may be diseases: liver damage, liver cirrhosis, liver and kidney syndrome, hepatitis B precautions Taboo before the examination: poor rest, improper diet, excessive fatigue. Requirements for inspection: Actively cooperate with the doctor's work. Inspection process The items examined include the following: 1 alpha fetoprotein (AFP) experiment: convection electrophoresis positive or radioimmunoassay determination > 400mg / ml; for four weeks and exclude pregnancy active liver disease and gonad embryo-derived tumors. 2 other signs check: alkaline phosphatase (A1 (P) about 20% of liver cancer patients increased r-glutaminyl transpeptidase (r-GT) 70% of liver cancer patients increased 5 - nucleotide dilipase About 80% of patients with enzyme N (5-NPDase-v) have a higher positive rate of metastatic liver cancer in patients with metastatic liver cancer. A-anti-trypsin (α-AT) is about 90% of patients with liver cancer. Increased carcinoembryonic antigen (CEA) in patients with liver cancer 70% increased abnormal prothrombin >300mg/ml. 3 liver function and hepatitis B antigen antibody system check: liver function abnormalities and hepatitis B markers positive tips, liver disease based on primary liver cancer. 4 various imaging examinations: suggesting intrahepatic space-occupying lesions. 5 laparoscopy and liver puncture examination: laparoscopy can directly display the liver surface condition; liver biopsy. Not suitable for the crowd Pregnant women or those with severe physical weakness should not be examined, and may be at risk of abortion or collapse due to examination. Adverse reactions and risks 1, the risk of collapse: ascites and weak body may be a lot of ascites due to puncture and can not tolerate and collapsed coma. 2. Risk of infection: If you use an unclean needle, you may be at risk of infection.

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