Per què s'ha de fer una punció hepàtica, és perjudicial per al cos?
Jan 26, 2018
Liver puncture is both a test and a treatment. When there are some undiagnosed liver diseases, liver puncture should be considered: if gastric hepatitis is suspected and difficult to be diagnosed, or pathological examination is needed to assist in typing; long-term low-grade fever cases, other patients have been excluded after comprehensive examination, Those caused by liver disease; those with unknown causes of hepatomegaly and splenomegaly, or those who need to be differentiated from diseases such as liver tuberculosis and fatty liver; those with unknown viral and drug-induced liver damage, etc. In addition, liver abscess patients can extract pus through liver puncture, and can also inject drugs through the puncture needle, so that some patients can avoid the pain of surgery. After liver puncture, some patients may experience transient pain in the liver area or at the site of liver puncture, but the reaction is generally mild and does not require treatment, and can be relieved spontaneously within 24 hours. At present, some hospitals have adopted B-ultrasound-guided fine-needle aspiration, which has the advantages of small damage and accurate positioning, which is especially suitable for determining the nature of intrahepatic space-occupying STDs. Some people think that liver puncture will damage "vigor", so when doctors propose to do liver puncture, they are often very nervous and worried, and they also feel uncomfortable in one way or another after surgery. When the doctor explained to the patient in detail, the discomfort will disappear quickly, which shows that the mental factor accounts for a large proportion. But when the patient has bleeding tendency or other contraindications, it should be delayed or not. (1) The presence or absence of liver cirrhosis can be determined. (2) Identify the clinical types of cirrhosis, which can distinguish between alcoholic cirrhosis, post-hepatitis cirrhosis, and whether it is accompanied by active hepatitis. (3) Determine the degree of liver fibrosis and cirrhosis, and provide objective basis for clinical drug treatment and prognosis judgment. (4) To judge the effect of drug treatment and the change of the condition. (5) Identify the nature and cause of jaundice. Liver biopsy can be done when it is difficult to determine the cause of jaundice clinically. (6) Differential diagnosis of various liver diseases, such as liver tumor, fatty liver, liver tuberculosis and liver abscess.
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