肝硬化教案（Liver cirrhosis lesson plan）.docVIP

肝硬化教案（Liver cirrhosis lesson plan） Documents from the network, I collected, finishing, and if there are omissions, errors, but also please correct me! Cirrhosis The First Affiliated Hospital of Wenzhou Medical College Cirrhosis of (Liver) is one of the common diseases and major causes of death in China Cirrhosis accounted for 4.3% to 14.2% of the total number of hospitalized patients, the peak age of onset was 35~48 years, and the ratio of male to female was about 3.6 to 8:1 Cirrhosis is a common chronic liver disease caused by long-term or repeated effects of one or more etiologies, causing diffuse liver damage There is degeneration of liver cells, extensive necrosis, regeneration and nodule formation in the histopathology, and the hyperplasia of fibrous connective tissue septum formation, which led to the destruction of the liver and pseudolobule lobules, liver deformation gradually harden and develop cirrhosis of the liver The early clinical result of liver compensatory function is strong, can be no obvious symptoms; the latter had multi system involvement, damage to the liver function and portal hypertension as the main manifestation, and often severe complications, gastrointestinal bleeding, hepatic encephalopathy, infection, cancer etc. [cause] there are many causes of cirrhosis. In our country, cirrhosis caused by viral hepatitis is the most common. In foreign countries, especially in North America and Western Europe, alcoholic cirrhosis is more common The viral hepatitis: mainly for hepatitis B, C and D, chronic hepatitis virus, stage of evolution, (A and E hepatitis do not develop cirrhosis) Pathogenesis -- abnormal immunity Alcoholism: chronic heavy drinking (daily intake of ethanol 80g over 10 years), alcohol acetaldehyde - alcohol hepatitis - cirrhosis Direct damage, malnutrition Cholestasis: - hepatic ischemia and necrosis, fibrous tissue hyperplasia - cirrhosis 4. Circulatory disorders: - hypoxia, necrosis and connective tissue hyperplasia - (cardiogen