How to diagnose alcoholic cirrhosis


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Alcoholic cirrhosis can be diagnosed by medical history collection, imaging examination, laboratory examination, special examination, etc.
1. Medical history collection
Through patient complaints, we can understand the basic information of patients, such as alcohol consumption, drinking years, drinking types and whether they are often drunk.
2, imaging examination
ultrasound examination can determine whether there is liver cirrhosis, to understand whether there is hepatosplenomegaly, liver occupation and ascites. Transient elastography examination can determine the hardness of the liver and the degree of fatty change, assess the severity of liver cirrhosis.
3. Laboratory examination of
serum albumin, cholinesterase, prothrombin time and other items in liver function test can reflect liver reserve function and synthetic function; elevated transaminase generally indicates that the patient's condition is in an active state, and this index is more obviously elevated in alcoholic cirrhosis.
4. Special examination of
liver puncture and liver biopsy has important value in the diagnosis of early alcoholic cirrhosis. Laparoscopy can diagnose the cause of ascites in cirrhosis. Gastroscopy can observe esophageal and gastric varices, which is the most reliable indicator of portal hypertension.