It is called fatty diarrhea in medicine.
Due to the lack of bile in the intestine or the reduction of bile volume, vitamin K is not absorbed enough, which affects the formation of coagulation factors in the human body, which will lead to bleeding tendency.
Increase of cholesterol in blood: after biliary obstruction, bile can not be discharged normally, so that bile salt in bile is retained and accumulated in liver cells, which in turn inhibits the decomposition of cholesterol, and finally increases cholesterol in blood.
After obstruction of biliary system, bile excretion is obstructed and bilirubin flows back to blood, which is called obstructive jaundice.
The location of obstruction may be inside or outside the liver, with complete obstruction and incomplete obstruction.
The common causes are capillary hepatitis, cholelithiasis, liver cancer, cholangiocarcinoma, pancreatic cancer, biliary ascariasis, etc.
2. Etiology of biliary obstruction biliary obstruction is a disease with high mortality in surgical acute abdomen, most of which are secondary to bile duct stones and biliary ascariasis.
These diseases cause bile duct obstruction, cholestasis and secondary bacterial infection.
Almost all of the pathogenic bacteria come from the intestine, and retrograde into the biliary tract through the ampulla of Vater or through the channel of choledochojejunostomy.
The main pathogenic bacteria were Escherichia coli, Klebsiella, Streptococcus faecalis and some anaerobic bacteria.
3. How to check biliary obstruction common examination: percutaneous transhepatic cholangiography; choledochoscopy; intravenous cholangiography; Cholangiography; electrocardiogram.
How to prevent biliary obstruction and pay attention to the changes of liver function: AFC often causes serious damage to liver function. At present, monitoring methods can not detect liver failure early. Diagnosis is usually made after mental symptoms and hepatic encephalopathy. Therefore, we must attach great importance to various clinical characteristics and accurately record the changes of bile volume, color and concentration every day.
After bile duct drainage, bile salt in the intestinal tract decreased significantly, which could not effectively inhibit bacterial reproduction and endotoxin. However, a large amount of endotoxin into the liver via portal vein could further aggravate liver damage. Oral bile salt could significantly reduce intestinal bacteria and endotoxin.
It is also very important to strengthen intestinal sterilization and cleaning. Kanamycin can inhibit intestinal bacteria and significantly reduce the amount of endotoxin in liver.
Prevention of renal failure: kidney damage is often caused by infection, poisoning, dehydration, electrolyte imbalance and hyperbilirubinemia.
It is suggested that diuretics should be used intermittently at the same time of replenishing the liquid, so as to eliminate the toxic substances and "flush" the bile embolus deposited in the renal tubules.
When oliguria or anuria, high-dose furosemide (furosemide) (400-500mg/D), phentolamine (Benazolin), propranolol (propranolol) should be given. Dopamine can also be continuously pumped into the vein by micro pump.
It is called fatty diarrhea in medicine.
Bleeding tendency: due to the lack of bile in the intestinal tract or the decrease of bile volume, vitamin K absorption is insufficient, which affects the formation of coagulation factors in the human body, which will lead to bleeding tendency.
Increase the cholesterol in blood: after biliary obstruction, bile can not be discharged normally, so that bile salt in bile is retained and accumulated in liver cells, which in turn inhibits the decomposition of cholesterol, and finally increases the cholesterol in blood.
医学上称为脂肪性腹泻。It is called fatty diarrhea in medicine.由于肠道内缺乏胆汁或胆汁量减少,使维生素k吸收不足,影响了人体中凝血因子的形成,这样就会发生出血倾向。
文章目录一、急性黄疸肝炎饮食1. 急性黄疸肝炎如何饮食2. 急性黄疸肝炎的食疗方3. 急性黄疸肝炎不能吃什么二、急性黄疸肝炎如何护理三、急性黄疸肝炎要注意什么急性黄疸肝
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