Fulminant hepatitis, also known as acute necrotizing hepatitis, has a rapid onset, poor prognosis, and high mortality. Usually, liver function damage will show symptoms related to acute hepatitis within 10 days, so patients with chronic hepatitis should actively prevent and control.
What are the symptoms of fulminant hepatitis?
1. Gastrointestinal symptoms
Most patients with acute severe hepatitis will experience severe gastrointestinal symptoms, including There is no appetite, so that symptoms such as anorexia, nausea and vomiting are frequent, severe bloating and abdominal pain, accompanied by general malaise. Some patients also experience mood-related symptoms, including abnormal irritability, mania, and depression.
2. Liver ascites occurs in a short period of time
The onset of fulminant hepatitis is rapid and short-term In just one week, ascites will appear in the liver, the volume of the liver will gradually shrink, and the dullness of the liver will gradually shrink. Liver B-ultrasound or CT examination can show varying degrees of liver atrophy.
3. Systemic poisoning symptoms< /p>
As the jaundice gradually deepens, the symptoms of systemic poisoning gradually become prominent. The main symptom is general fatigue, which cannot be improved even with adequate sleep, accompanied by severe abdominal distension, dislike of greasy food, and altered thinking. Confused, flapping wings, reduced computing power, and always getting lost. At the same time, there will be abnormalities in the mental aspect, such as being more irritable and difficult to control emotions.
4. Hepatic coma
The most serious symptom of fulminant hepatitis is hepatic coma. The personality and mental state have undergone great changes, the consciousness has become blurred, and he will enter a coma in a short period of time. If the patient has projective vomit, the pupils of both sides are different in size, the muscle tension of the whole body is significantly increased, the bulbar conjunctiva becomes edema, accompanied by paroxysmal spasm and muscle rigidity, there are nine out of ten cases of cerebral edema. The condition is very serious and requires immediate medical attention.
5. Skin bleeding and vomiting
Because most coagulation factors are synthesized in the liver, fulminant hepatitis is prone to bleeding tendency, ecchymosis or petechiae on the skin, bleeding gums or nosebleeds. When it develops to a certain extent, massive gastrointestinal hemorrhage, cerebral hemorrhage and blood in the stool can occur, and it can be life-threatening in severe cases.
6. Jaundice is progressively deepened
Patients with fulminant hepatitis are prone to jaundice. is the most common manifestation. Because the liver function is severely damaged, the serum total cholesterol level is greater than 171 mmol in a short period of time, the serum alanine aminotransferase level decreases or returns to normal, and the metabolism of the liver is also weakened. Yellow, the color of the urine is yellow, like a strong tea color.
7. Other related symptoms< /p>
Patients with fulminant hepatitis also have intractable hypotension, hepatic ascites, hypoglycemia, persistent high fever and shock, and in severe cases, renal failure, respiratory failure and acute pulmonary edema may occur.
Message from the doctor
Once fulminant hepatitis occurs, it is necessary to actively cooperate with the doctor for treatment to avoid serious consequences. During this period, you should stay away from fried, hard, rough and spicy foods, otherwise it will damage the esophageal mucosa and cause bleeding; because the liver function of patients with severe hepatitis is severely damaged and ammonia cannot be removed in time, protein intake should be properly controlled, especially those containing aromatic amino acids. Chicken and pork, etc., otherwise it will cause liver coma. In addition, eliminate emotions such as fear and anxiety in time, and monitor vital signs at all times.
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