Decreased liver function

portal hypertension

Liver biopsy shows the formation of pseudolobules to confirm the diagnosis

Have severe liver disease and/or the basis for the formation of extensive portosystemic collateral circulation and the causes of hepatic encephalopathy

Clinical manifestations of hepatic encephalopathy

Obvious abnormalities in liver function biochemical indicators and/or increased blood ammonia

Head CT or MRI to rule out diseases such as cerebrovascular accidents and intracranial tumors

Liver cirrhosis combined with peritoneal effusion

The rapidly progressive serum creatinine concentration rises to 2 times the baseline value within 2 weeks, or >226 μmol/L, and the slowly progressive serum creatinine concentration is >133 μmol/L.

After diuretics were stopped for >2 days and albumin volume expansion [1g/(kg·d), maximum amount (100g/d)] was performed, the serum creatinine value did not improve.

Rule out shock and renal parenchymal disease

No recent treatment with nephrotoxic drugs or vasodilator drugs

Remove or reduce the cause of the disease

Use drugs for liver damage with caution

Maintain enteral nutrition

protect liver cells

Ascites

EGVB

hepatic encephalopathy

cholelithiasis

Anti-infection

portal vein thrombosis

hyponatremia

hepatorenal syndrome

Hepatopulmonary syndrome

Hypersplenism

TIPS

liver transplant

rest

Strictly prohibit alcohol

A low-protein, low-fat diet, mainly foods that are easy to digest and produce less gas

avoid infection

Take medication for the cause

Regular follow-up

most common

Symptoms are mild and may include abdominal discomfort, fatigue, loss of appetite, indigestion, and diarrhea.

Whether the liver is enlarged depends on the type of cirrhosis

The spleen is often mildly or moderately enlarged due to portal hypertension.

Decreased liver function

portal hypertension

Hepatic artery and/or inferior vena cava obstruction, chronic cardiac dysfunction, and constrictive pericarditis Can cause long-term liver congestion, hepatocyte degeneration and fibrosis, and eventually cirrhosis.

my country: Hepatitis B virus

European and American Countries: Hepatitis C Virus

Schistosoma eggs are deposited near the hepatic portal vein, and fibrosis often causes portal vein perfusion impairment.

Clonorchis sinensis parasitizes in human extrahepatic bile ducts and causes biliary obstruction and inflammation

Copper metabolism disorder (hepatolenticular degeneration)

Hemochromatosis: Genetic abnormality on the sixth pair of chromosomes

alpha-antitrypsin deficiency

cryptogenic cirrhosis