BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 危险因素的存在
  • 高龄
  • 肝肿大

其他诊断因素

  • 腹胀
  • 食管或胃静脉曲张出血
  • 右上腹痛
  • 易饱胀

危险因素

  • 肝硬化
  • 慢性乙型肝炎感染
  • 慢性丙型肝炎肝硬化
  • 慢性酗酒

诊断性检查

首要检查

  • 血细胞计数
  • 基础代谢生化检查 (BMP)
  • 肝功能检查
  • PT/INR
全部具体信息

需要考虑的检查

  • 腹部增强 CT
  • 腹部增强 MRI
  • 肝脏活检
  • 胸部 CT 扫描
全部具体信息

治疗流程

贡献者

Consultant, Gastroenterology & Hepatology

Assistant Professor, Yong Loo Lin School of Medicine

National University of Singapore

Singapore

利益冲突披露
PST has received a speaker honorarium from GE Healthcare. PST has received travel and accommodation arrangements for medical conferences from Bristol-Myers Squibb, Gilead, Sirtex, Bayer, and Novartis.

Dr Poh Seng Tan would like to gratefully acknowledge Dr Badar Muneer and Dr Smruti R. Mohanty, previous contributors to this monograph. BM declares that he has no competing interests. SRM serves as a speaker for Bristol-Myers Squibb regarding the use of entecavir for the treatment of chronic hepatitis B.

同行评议专家 查看所有

Gastroenterologist

Dartmouth-Hitchcock Nashua

Nashua

NH

利益冲突披露
SN declares that he has no competing interests.

Professor of Medicine

Chief of Clinical Gastroenterology and Hepatology

University of Texas Medical Branch

Galveston

TX

利益冲突披露
NS declares that he has no competing interests.

使用此内容应接受我们的免责声明