post-hepatitis syndrome
Introduction
Introduction to post-hepatitis syndrome Post-Hepatitis Syndrome is a syndrome characterized by autonomic disorders that occurs after viral hepatitis is healed. It is also called Convalescent Hepatitis Syndrome. After suffering from acute viral hepatitis, most of the treatments healed within a few months, the symptoms of the digestive tract disappeared, the liver size and liver function returned to normal, but a small number of patients still had persistent weakness, dizziness, dizziness, chest tightness, palpitation, insomnia. Many dreams, fatigue and sweating, loss of appetite, pain in the upper abdomen or right quarter ribs, and related to emotional state, when it is light and heavy, can last for several months to several years, at this time, liver biopsy pathological examination Abnormal discovery. basic knowledge The proportion of illness: 0.001% Susceptible population: patients with hepatitis Mode of infection: non-infectious Complications: underarm abscess abdominal cavity abscess
Cause
Causes of post-hepatitis syndrome
The disease evolved from acute viral hepatitis. At present, hepatitis A, B, C, D, and E are all caused by hepatitis, but type A, B, and C are common, and their occurrence is often related to the patient's nerve type. Related, sensitive, irritating, and more considerate personality, can be explained, after the psychological treatment of symptoms reduced or disappeared, it is believed that the occurrence of post-hepatitis syndrome is related to autonomic disorders after hepatitis healing.
Prevention
Post-hepatitis syndrome prevention
Pay attention to rest, work and rest, life in an orderly manner, and maintaining an optimistic, positive and upward attitude towards life can be of great help in preventing diseases.
Complication
Complications of post-hepatitis syndrome Complications, underarm abscess, abdominal abscess
1, infectious complications: liver abscess, underarm abscess and wound infection. Thorough removal of vital liver tissue and contaminants, proper hemostasis, and placement of reliable and effective drainage are effective measures to prevent infection. Once the abscess is formed, it should be drained in time.
2, liver wound bile leakage: can cause biliary peritonitis or localized abdominal abscess, is also a more serious complication. The method of preventing bile leakage is to carefully ligature or suture the broken bile duct and place the drainage tube during surgery. After the occurrence of bile leakage, the placement of "T" shaped tube drainage in the common bile duct can reduce the pressure in the biliary tract to promote healing.
3, secondary bleeding: more due to improper treatment of the wound, leaving dead space or necrotic tissue and secondary infection, so that the blood vessels collapse or ligature line off and then bleeding. When the amount of bleeding is large, it is necessary to stop bleeding again and improve drainage.
4, acute liver and kidney and lung dysfunction: is a very serious and difficult to treat complications, poor prognosis. More secondary to severe complex liver injury, long-term shock after a large number of blood loss, blocking the long-term flow to the liver, severe abdominal infection. Therefore, timely correction of shock, attention to block the flow of blood to the liver, correct treatment of liver wounds, placement of effective abdominal drainage, prevention of infection is an important measure to prevent this multiple organ failure, and is currently the best treatment for multiple organ failure.
Symptom
Symptoms of post-hepatitis syndrome Common symptoms Face grayness, flustered fatigue, loss of appetite, dizziness, fatigue, chest tightness, head swelling, insomnia, dreams
After suffering from acute viral hepatitis, most of the treatments healed within a few months, the symptoms of the digestive tract disappeared, the liver size and liver function returned to normal, but a small number of patients still had persistent weakness, dizziness, dizziness, chest tightness, palpitation, insomnia. Many dreams, fatigue and sweating, loss of appetite, pain in the upper abdomen or right quarter ribs, and related to emotional state, when it is light and heavy, can last for several months to several years, at this time, liver biopsy pathological examination Abnormal discovery.
Examine
Examination of post-hepatitis syndrome
(1) Liver function test
1, serum bilirubin blood combined bilirubin and unconjugated bilirubin values are elevated, often combined with elevated bilirubin.
2, serum alanine aminotransferase (ALT) increased in degree, and the degree of liver cell damage, when the disease recovered, gradually reduced to normal.
3, serum -glutamyltranspeptidase (-GT), 5'-nucleotidase (5'-NT), alkaline phosphatase (AKP) and serum bile acid examination, accompanied by cholestasis It is obviously elevated.
4. Prothrombin time can reflect liver function early, and prothrombin time is significantly prolonged when liver cells are damaged.
(2) Pathogen detection of infant hepatitis syndrome
1, virus infection markers such as blood anti-HAV-IgM check for hepatitis A virus infection; serum HBsAg, HBV-DNA check for hepatitis B virus infection; serum anti-CMV-IgM and serum anti-EBV-IgM check No cytomegalovirus and EB virus infection. In neonates, the ability to produce IgM antibodies is weak, and there is a false negative. In addition, urine CMV culture can improve the diagnosis rate.
2. Bacterial culture blood culture and mid-stage urine culture to find out whether there is sepsis or urinary tract infection.
3. Blood anti-Toxoplasma antibody test to find Toxoplasma infection.
(3) Screening for metabolic diseases
Such as measuring the reducing substances in the urine and fasting blood glucose, galactose value to find galactosemia, fructose intolerance or glycogen accumulation disease. The serum 1-AT value was measured to find 1-AT deficiency and the like.
(4) Imaging examination
Intrahepatic bile duct developmental disorders can be found by liver ultrasound, CT or MRI or percutaneous biliary drainage.
Diagnosis
Diagnosis and identification of post-hepatitis syndrome
After suffering from acute viral hepatitis, most of the treatments healed within a few months, the symptoms of the digestive tract disappeared, the liver size and liver function returned to normal, but a small number of patients still had persistent weakness, dizziness, dizziness, chest tightness, palpitation, insomnia. More dreams, fatigue and sweating, loss of appetite, pain in the upper abdomen or right season ribs, and related to emotional state, light and heavy, sustainable for several months to several years. At this time, there was no abnormality in the pathological examination of liver biopsy. Since post-hepatitis syndrome is a functional change that occurs after hepatitis, its treatment is mainly symptomatic. Including psychological adjustment, appropriate physical activity, optional B vitamins, vitamin C, oryzanol, acanthopanax and other drugs. It is also possible to apply a small amount of a sedative drug that does not damage the liver.
