充血性肝病:对文献的综述
Rakahn Haddadin1, Christopher Aboujaoude1, George Trad1
1Internal Medicine, MountainView Hospital, Las Vegas, USA.
Cureus
|May 23, 2024
概括
血栓性肝病 (CH) 是由心力衰竭引起的肝损伤. 诊断是棘手的,因为症状模仿其他肝脏问题,治疗侧重于心脏病和流体过载.
科学领域:
- 心脏病学 心脏病学
- 肝病学 肝病学是一种肝病学.
- 内部医学 内部医学
背景情况:
- 血栓性肝病 (CH) 是一种肝脏疾病,由肝脏静脉外流受损或肝内部压力升高引起.
- 它是心血管疾病的重要并发症,特别是充血性心力衰竭 (CHF).
- 肝炎表现为肝脏拥堵,肝细胞损伤和肝功能改变.
研究的目的:
- 审查充血性肝病的核心方面.
- 突出诊断挑战和临床影响.
- 强调在临床实践中需要全面理解.
主要方法:
- 关于充血性肝病的文献综述.
- 综合有关病理生理学,诊断和管理的信息.
- 临床影响的分析.
主要成果:
- 肝炎的特征是肝脏拥堵,细胞损伤和肝功能受损.
- 由于主要肝脏疾病的症状重叠,出现了诊断困难.
- 有效的管理需要解决潜在的心血管原因并管理液体保留.
结论:
- 充血性肝病是一种复杂的疾病,具有重大临床影响.
- 准确的诊断可能具有挑战性,需要与原发性肝病进行区分.
- 管理策略必须针对根源原因 (心血管功能障碍) 和症状缓解 (流体管理).
相关概念视频
Pathophysiology of Heart Failure
1.6K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.6K
Liver Regeneration
3.2K
The liver is an important organ in vertebrates that plays an essential role in metabolism. It is also responsible for storing and redistributing nutrients such as carbohydrates, fats, and vitamins in the body. Additionally, the liver releases bile salts which are critical for digesting food and eliminating toxic metabolites from the body.
Cells of Liver
The liver comprises four major types of cells— hepatocytes, stellate, Kupffer, and sinusoidal endothelial cells. The hepatocytes are...
Cells of Liver
The liver comprises four major types of cells— hepatocytes, stellate, Kupffer, and sinusoidal endothelial cells. The hepatocytes are...
3.2K
Liver Physiology
507
The liver, an essential organ in the human body, performs over 200 vital functions that can be broadly categorized into metabolic, hematological, endocrine regulation, and bile production.
Metabolic Regulation:
The liver is the central organ involved in regulating blood composition. It stabilizes blood glucose levels, maintaining them within the range of 70–110 mg/dL. When these levels drop, the liver breaks down glycogen reserves and releases glucose into the bloodstream. It can...
Metabolic Regulation:
The liver is the central organ involved in regulating blood composition. It stabilizes blood glucose levels, maintaining them within the range of 70–110 mg/dL. When these levels drop, the liver breaks down glycogen reserves and releases glucose into the bloodstream. It can...
507
Imbalances in Cardiac Output
1.4K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.4K
Diseases of the Liver and Gallbladder
519
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
519
Liver Histology
729
The microscopic anatomy of the liver is a complex and intricate system that comprises numerous structural units known as liver lobules, each of which is comparable in size to a sesame seed. These hexagonal structures consist of plates of liver cells or hepatocytes, which are characterized by their versatility and abundance of cellular apparatus like rough and smooth ER, Golgi apparatus, peroxisomes, and mitochondria.
Hepatocytes perform a variety of essential functions. They secrete...
Hepatocytes perform a variety of essential functions. They secrete...
729


