Question 2: What are the symptoms of a bacterial liver abscess? Clinical manifestations
Bacterial liver abscess has no typical clinical manifestations, and the acute inflammatory period is often covered by the primary disease. The disease usually starts sharply, because the liver is rich in blood transport, once the septic infection occurs, a large number of toxins enter the blood circulation, causing systemic septic reaction. Clinically, it is often followed by some kind of precursor disease (such as biliary ascariasis) and then sudden chills, high fever and pain in the liver area. The main clinical manifestations are as follows:
1. Chills and high fever are the earliest and most common symptoms. Patients in the early stage of the onset of chills, followed by high fever, fever mostly flaccid, body temperature in 38 ~ 40 ℃, up to 41 ℃, chills and fever with a lot of sweating, rapid pulse rate, several times a day, repeated episodes.
2. Hepatic pain inflammation caused by liver enlargement, resulting in acute swelling of the hepatic periosteum, hepatic persistent dull pain; the time of appearance can occur before or after the appearance of other symptoms, can also be with other symptoms at the same time, the pain is often suggestive of a single abscess; abscess for the early persistent dull pain, the late often sharp pain, with the respiratory aggravation of those who are often suggestive of the top of the hepatic phrenic abscess; sometimes the pain can be radiated to the right shoulder, the left liver abscess, the pain can be radiated to the right shoulder, the left liver abscess, the left liver abscess. Sometimes the pain may radiate to the right shoulder, and the left liver abscess may also radiate to the left shoulder.
3. Weakness, loss of appetite, nausea and vomiting Due to the systemic toxic reaction and continuous exertion, gastrointestinal symptoms such as weakness, poor appetite, nausea and vomiting are more common. A few patients show more severe morbidity such as mental depression in the short term, and a few patients have symptoms such as diarrhea, abdominal distension, or more persistent eructation.
4. Signs and symptoms: Pressure pain in the liver area and hepatomegaly are most common; percussion pain in the right lower chest and liver area; sometimes right-sided reactive pleurisy or pleural effusion; if the abscess is located on the surface of the liver, the intercostal skin of the corresponding part of the body is red, swollen, full, painful to palpation, and sunken edema; if the abscess is located in the right lower part of the body, the right quartal region of the ribcage or the right epigastric area is full, and even limited elevation is seen, and the swollen liver or fluctuating masses are often palpable. The liver or fluctuating mass can often be touched, and there is obvious tenderness and abdominal muscle tension, etc.; in the case of left liver abscess, the above signs are limited to the subxiphoid process. Ascites may be seen in the advanced stage of the disease, which may be due to portal phlebitis and the compression of peripheral abscesses affecting the portal circulation and hepatic function damage, long-term consumption resulting in malnutrition and low protein. Jaundice is present in patients secondary to biliary obstruction. Other causes of suppurative liver abscess, once jaundice occurs, it indicates that the condition is serious and the prognosis is poor. The above is the typical performance of liver abscess, it is worth pointing out that, due to the progress of diagnostic and treatment technology, the early application of antibiotics, the above typical performance is not common, and often abdominal pain, fatigue and night sweats as the main symptoms.
Diagnosis
Diagnosis is generally not difficult. Bacterial liver abscess should be considered in people with septic diseases who suddenly develop obvious chills and high fever, pain in the liver area with percussion and pressure, hepatomegaly, and leukocytosis suggestive of bacterial infection. If the ultrasound shows a fluid occupancy with unclear boundary, the diagnosis can already be established. If ultrasound-guided percutaneous hepatic puncture obtains pus, the diagnosis can be confirmed, and the pus can also be cultured to guide treatment.
Because of the rich blood supply of the liver, once a septic infection occurs, it can quickly lead to significant systemic symptoms that worsen significantly in a short period of time. Clinically, it is common to first have certain antecedent purulent infections, such as biliary tract inflammation, purulent appendicitis, followed by chills and high fever, pain in the hepatic region, rapid enlargement of the liver, leukocytosis, accompanied by fatigue, nausea, ? Heart, vomiting in severe cases, generalized sepsis symptoms. Hepatic pain is a symptom with more localization value, mostly due to rapid enlargement of the liver, hepatic pericardium expansion, so the dull pain is more, is persistent; but there are also manifested as distension, burning pain, throbbing pain, or even colic; such as abscess *** the right diaphragm can be seen in the right shoulder, back pain. Fever is usually moderate to high, mostly accompanied by chills and sweating, but there are also about 15% without fever. Multiple abscesses are often significantly more symptomatic than single abscesses. Jaundice may occur in severe cases. Liver abscesses can also break through into neighboring cavities and lead to chest or lung infections, subphrenic abscesses, peritonitis, and pelvic abscesses. The diagnosis is often confused if complications are already present at the time of presentation. The right upper part of the right liver abscess liver appeared in the right side of the pleural cavity reactive effusion is not missing.
Signs of bacterial liver abscess include: severe illness, mild jaundice, hepatomegaly with tenderness or tenderness to percussion, elevation of the upper border of the liver if the abscess is located on the upper portion, or signs of a right pleural effusion, and localized skin at the site of the liver abscess with depressed edema, or even localized elevation. Laboratory tests show a significant increase in white blood cells, the proportion of neutrophils reaches about 90%, or even left shift.
Problem three: liver abscess patients in the diet of what to pay attention to Meat, vegetarian food to eat with: clinical common patients come to the clinic, yellow muscle thinness, breathless, asked to know a few months ago to listen to the lobbying of the lobbying of the doctor: a liver disease can not eat meat, lard, vegetable oil, chicken, fish, pork or even eggs can not be eaten, salt can not be eaten every day to eat only a little bit of light boiled vegetables, which is nonsense, and even the normal people have to eat nutritious and the liver disease patients. All have to eat nutritious and liver patients, not to mention. The most important feature of meat food is that it contains essential amino acids and high-quality proteins, while fruits and vegetables in the vegetarian diet, in addition to soybeans and soybean products other essential amino acids contained in the incomplete, protein quality to be poorer. In addition, animal food is richer than plant food calcium, phosphorus, easily absorbed by the body, fish, liver, eggs contain vegetarian diet in the lack of vitamins A and D; and vegetarian diet of vitamin C and carotene is often missing in meat. Quality of crude fiber is very rich, can promote intestinal peristalsis, easy laxative and even have the effect of preventing digestive tract tumors. Therefore, it can be seen that meat and vegetarian food with eating can complement each other, and is conducive to recovery.
Question 4: Liver abscess, belonging to what venereal disease is a disease
Question 5: How liver abscess occurs, what is the cause of the disease and personal diet, lifestyle habits have a relationship, and finally will hurt all the internal organs