HepatitisB illness
Why do some patients have hepatitis splenomegaly?
Date:2016-10-18 11:04:26 FROM: Browsing times:
The spleen is located on the left costal arch, the upper bound in the left 9 intercostal axillary midline 10, 4.7 cm wide; the front does not exceed the anterior axillary line. In addition to the baby and spleen, the normal person is generally not touch the spleen under the edge of the. I have low costophrenic and physique emaciated, especially female patients, sometimes can be touched, but the texture are quite soft and relatively sharp edge, smooth surface, no tenderness and percussion pain.
If you can touch the edge of the spleen in the supine or side, it can determine the splenomegaly, because only in the spleen increased by 2 - 3 times, was palpable in the costal margin.
Splenomegaly is a signs of hepatitis, acute hepatitis patients usually very few people had splenomegaly, even if there is only a slight swelling, and soft texture. The patients left hypochondrium pain, and percussion pain. The reason is because the liver and spleen two dirty belong to the reticuloendothelial system organs, when pathogenic factors acting on the body, occurrence of cell proliferation and phagocytosis of liver and spleen in the spleen of plexiform, hyperemia, swelling, acute to be expired after the enlargement of the spleen with remission will gradually return to normal.
Splenomegaly in chronic hepatitis patients are more common, and hard texture, some patients with liver pain or tenderness of spleen. If it is progressive, it suggests that the disease is active, and it is likely to develop into liver cirrhosis. Estimated with red pulp of spleen sinusoid hyperemia and portal hypertension related.
Patients with cirrhosis of the liver showed progressive enlargement of the liver, may be due to increased venous pressure, suggesting that there may be major bleeding in the digestive tract. At this time must be highly vigilant, strict observation of the size of the spleen to determine the severity of the disease is of great significance. If the hepatitis patient can touch the right upper abdominal mass, it should be promptly asked the doctor to make a diagnosis and treatment.


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