Symptoms of liver and kidney failure?

summary

Liver is one of the most important organs in human body, and its quality is directly related to people's life and health. When the liver is damaged to a certain extent by some factors, liver failure will occur. What are the obvious symptoms of liver failure? Let's talk about it.

Symptoms of liver and kidney failure?

(1) Acute onset of acute liver failure, liver encephalopathy of grade II or above (classified according to grade IV) within 2 weeks, with the following manifestations: ① extreme fatigue, obvious anorexia, abdominal distension, nausea, vomiting and other serious gastrointestinal symptoms. (2) jaundice deepened in a short time. (3) the bleeding tendency was obvious, PTA ≤ 40%, and other reasons were excluded. (4) progressive shrinkage of liver.

(2) The onset of subacute liver failure was more acute, and the following symptoms appeared from 15 days to 26 weeks: ① extreme fatigue, obvious gastrointestinal symptoms. (2) jaundice deepens rapidly, and serum total bilirubin is 10 times higher than the upper limit of normal value or more than 17.1 times daily μ mol/L。 (3) prothrombin time was significantly prolonged, PTA ≤ 40% and other reasons were excluded.

(3) Acute on chronic liver disease is the main clinical manifestation of acute decompensation of liver function in a short time.

matters needing attention

The fatality rate of acute liver failure is high, which should be prevented as far as possible. What can be done clinically is to pay attention to the adverse effects on the liver. For example: when tuberculosis is treated with rifampicin, thioisonicotinamide or pyrazinamide, blood transaminase and bilirubin should be checked. If liver function changes, drugs should be changed in time. Before the operation, we should pay attention to the patients' liver function, especially for the patients with liver cirrhosis, hepatitis, jaundice and hypoproteinemia. Hepatotoxic drugs should be avoided in anesthesia. Hypoxia, hypotension, shock and infection should be prevented as much as possible during and after operation to avoid damage to hepatocytes; After operation, we should continue to monitor liver function according to the patient's condition, keep good respiratory circulation, anti infection and maintain nutritional metabolism, which plays a good role in liver.