Mr. Wei, 33 years old, has not been getting better for many days due to abdominal pain and bloating, and recently felt that his body is getting more and more tired, the urine color is yellow, and his face is not good. Mr. Wei's laboratory results showed that the aminotransferase was as high as 236, the bilirubin was higher than 315, the viral load reached 10 to the 7th power, and the alpha-fetoprotein was more than 700. After Mr. Wei got the results, he said that he had been diagnosed with hepatitis B ten years ago, but the doctor told him that there was no problem with the indicators, and that he did not need to take medicine, so he just had regular check-ups. At that time, he thought that he didn't need to take medicine, it must be no big deal, and there was indeed no problem with his body during the past ten years, so he simply didn't take it seriously. I asked him if he usually had a regular routine and smoked and drank, and he said that he drank, and how many men didn't drink. I asked him if the doctor hadn't told him not to drink alcohol at that time, and he said that he might have said it, but he didn't care, how could he not drink when his friends had dinners and parties. I told him that if he has hepatitis B, he is afraid of drinking, especially for hepatitis B patients like him, who have never been regulated**, and it is especially easy for the hepatitis B virus to develop, which can lead to liver cancer in severe cases.
Hepatitis-cirrhosis-liver cancer is actually what we often call the hepatitis B trilogy, some liver cancers are progressed from the trilogy, but there are also patients who directly progress to liver cancer. Today, I would like to summarize with you the following categories of high-risk patients, and I hope you can pay attention to them:
1.Patients with chronic hepatitis B.
Our chronic hepatitis B patients, the disease is repeated, the aminotransferases continue to fluctuate, the disease is relatively stubborn, and the effect is not significant, which leads to the long-term invasion of our liver by the virus, which can easily cause the active replication of the virus, which has been invading our liver, further progressing to liver cirrhosis, and then leading to liver cancer.
2.Liver function is markedly altered.
Liver function changes are obvious, albumin is lower than globulin, especially when transpeptidase is greater than the upper limit of normal, generally 10-20 times, we can not take it lightly, we need to find a specialist doctor in time for further examination.
3.Hepatitis B is a long disease.
The disease of hepatitis B is relatively long, and through regular antiviral**, the hepatitis B virus has still not been effectively suppressed, and patients who are still positive for E antigens, including hepatitis B virus DNA, should be extra vigilant.
4.Ascites in cirrhosis.
Cirrhosis of the liver with ascites, emaciation, ** reaction is very poor, some patients will also be combined with severe gastrointestinal bleeding, hepatic encephalopathy, etc., the time of liver cirrhosis is getting longer and longer, and further progression, he will have a great possibility of liver cancer, I hope I said that there is no you in these.