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肝功失代偿和门脉高压，这些体征图片你见过吗 ！

2016-04-01 医学之声整理 医学之声整理

肝功能失代偿体征
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肝硬化大体外观 蜘蛛痣 肝功能减退对雌激素的灭能作用减弱，毛细血管扩张（上腔静脉引流区），随肝功能的好恶而增减。 肝掌 双手手掌两侧的大、小鱼际和指尖掌面呈粉红色斑点和斑块，色如朱砂，加压后即变成苍白色。肝脏对雌激素的灭活能力明显下降，结果造成雌激素在体内大量堆积，以致引起小动脉扩张。 腹



肝硬化大体外观





蜘蛛痣 肝功能减退对雌激素的灭能作用减弱，毛细血管扩张（上腔静脉引流区），随肝功能的好恶而增减。



肝掌 双手手掌两侧的大、小鱼际和指尖掌面呈粉红色斑点和斑块，色如朱砂，加压后即变成苍白色。肝脏对雌激素的灭活能力明显下降，结果造成雌激素在体内大量堆积，以致引起小动脉扩张。




腹水 腹水形成与门静脉压力增高；低白蛋白血症；淋巴液生成过多（正常1~3 L，可达7~11L）；继发醛固酮增多；抗利尿激素分泌增多；有效循环血容量不足（肾交感神经活动增强）有关。



食管胃底静脉曲张 门静脉压力增高，侧支循环开放





腹壁静脉曲张 门静脉压力增高，侧支循环开放




直肠肛门静脉曲张 门静脉压力增高，侧支循环开放




脾大：由于门脉压力的升高．导致脾脏血液回流受阻，脾脏淤血肿大。


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    2016-10-01 忠诚向上

    好好学习

    0

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    2016-07-11 oo902

    不打开以为是块石头呢

    0

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    2016-05-02 1de4921fm57(暂无匿称)

    见过了就不会忘了

    0

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    2016-04-20 Meimei1976

    长见识

    0

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    2016-04-13 1dea5dd7m74(暂无匿称)

    图片超强经典

    0

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    2016-04-10 壹生

    见过

    0

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    2016-04-06 hekzn

    典型症状

    0

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    2016-04-06 拯救我的未来

    不错！

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=138743, encodeId=4a17138e433d, content=好好学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Sat Oct 01 22:37:22 CST 2016, time=2016-10-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92697, encodeId=b5ae9269e10, content=不打开以为是块石头呢, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Mon Jul 11 07:58:00 CST 2016, time=2016-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83510, encodeId=0fc583510c0, content=见过了就不会忘了, beContent=null, objectType=article, channel=null, level=null, likeNumber=169, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160613/IMG575D9886B86721544.jpg, createdBy=07961686486, createdName=1de4921fm57(暂无匿称), createdTime=Mon May 02 20:22:00 CST 2016, time=2016-05-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79857, encodeId=bef4e98571f, content=长见识, beContent=null, objectType=article, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=22031714055, createdName=Meimei1976, createdTime=Wed Apr 20 22:18:00 CST 2016, time=2016-04-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=77663, encodeId=a808e766383, content=图片超强经典, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ab3f1711729, createdName=1dea5dd7m74(暂无匿称), createdTime=Wed Apr 13 13:31:00 CST 2016, time=2016-04-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=76675, encodeId=71f2e66755a, content=见过, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160227/IMG56D1078DD4F344111.jpg, createdBy=80b71692457, createdName=壹生, createdTime=Sun Apr 10 14:31:00 CST 2016, time=2016-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=76110, encodeId=0172e6110bf, content=典型症状, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/PiajxSqBRaEJJAFMgSjibMicGVUgkmDBw4svXiccQxZicwjRHNxGPTghAmITxP12Rcmm0yFKfwGwUaiaUwpPUUUTOd2g/0, createdBy=fcd21609070, createdName=hekzn, createdTime=Wed Apr 06 20:33:00 CST 2016, time=2016-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=76109, encodeId=218ee61093d, content=不错！, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160406/IMG570506F023DF05364.jpg, createdBy=f19f1695574, createdName=拯救我的未来, createdTime=Wed Apr 06 20:32:00 CST 2016, time=2016-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1353444, encodeId=c5f013534442e, content=<a href='/topic/show?id=d0949e1140a' target=_blank style='color:#2F92EE;'>#门脉高压#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97114, encryptionId=d0949e1140a, topicName=门脉高压)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sun Apr 03 04:50:00 CST 2016, time=2016-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=75253, encodeId=5145e5253e4, content=受用, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=faf81654217, createdName=许帅, createdTime=Sat Apr 02 16:37:00 CST 2016, time=2016-04-02, status=1, ipAttribution=)]
    2016-04-03 zhaojie88

    #门脉高压#

    0

  10. [GetPortalCommentsPageByObjectIdResponse(id=138743, encodeId=4a17138e433d, content=好好学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=45101626056, createdName=忠诚向上, createdTime=Sat Oct 01 22:37:22 CST 2016, time=2016-10-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=92697, encodeId=b5ae9269e10, content=不打开以为是块石头呢, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=a37a1710612, createdName=oo902, createdTime=Mon Jul 11 07:58:00 CST 2016, time=2016-07-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=83510, encodeId=0fc583510c0, content=见过了就不会忘了, beContent=null, objectType=article, channel=null, level=null, likeNumber=169, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160613/IMG575D9886B86721544.jpg, createdBy=07961686486, createdName=1de4921fm57(暂无匿称), createdTime=Mon May 02 20:22:00 CST 2016, time=2016-05-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=79857, encodeId=bef4e98571f, content=长见识, beContent=null, objectType=article, channel=null, level=null, likeNumber=113, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=22031714055, createdName=Meimei1976, createdTime=Wed Apr 20 22:18:00 CST 2016, time=2016-04-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=77663, encodeId=a808e766383, content=图片超强经典, beContent=null, objectType=article, channel=null, level=null, likeNumber=96, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ab3f1711729, createdName=1dea5dd7m74(暂无匿称), createdTime=Wed Apr 13 13:31:00 CST 2016, time=2016-04-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=76675, encodeId=71f2e66755a, content=见过, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160227/IMG56D1078DD4F344111.jpg, createdBy=80b71692457, createdName=壹生, createdTime=Sun Apr 10 14:31:00 CST 2016, time=2016-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=76110, encodeId=0172e6110bf, content=典型症状, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/PiajxSqBRaEJJAFMgSjibMicGVUgkmDBw4svXiccQxZicwjRHNxGPTghAmITxP12Rcmm0yFKfwGwUaiaUwpPUUUTOd2g/0, createdBy=fcd21609070, createdName=hekzn, createdTime=Wed Apr 06 20:33:00 CST 2016, time=2016-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=76109, encodeId=218ee61093d, content=不错！, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160406/IMG570506F023DF05364.jpg, createdBy=f19f1695574, createdName=拯救我的未来, createdTime=Wed Apr 06 20:32:00 CST 2016, time=2016-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1353444, encodeId=c5f013534442e, content=<a href='/topic/show?id=d0949e1140a' target=_blank style='color:#2F92EE;'>#门脉高压#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97114, encryptionId=d0949e1140a, topicName=门脉高压)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sun Apr 03 04:50:00 CST 2016, time=2016-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=75253, encodeId=5145e5253e4, content=受用, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=faf81654217, createdName=许帅, createdTime=Sat Apr 02 16:37:00 CST 2016, time=2016-04-02, status=1, ipAttribution=)]
    2016-04-02 许帅

    受用

    0

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