University of Wisconsin School of Medicine and Public Health, 2828 Marshall Court, Suite 100, Madison, WI 53705, USA.
Section on General Internal Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston Salem, NC 27157, USA.
Med Clin North Am. 2022 May;106(3):437-446. doi: 10.1016/j.mcna.2021.12.001. Epub 2022 Apr 4.
Cirrhosis is a chronic condition resulting from inflammation and fibrosis of the liver. Patients with cirrhosis may have a myriad of physical examination findings that reflect the severity of the underlying liver disease. Although many signs and symptoms related to cirrhosis are nonspecific, such as abdominal pain, nausea, and malaise, some findings are more specific and point to complications of liver disease. In this article, key physical findings in patients with cirrhosis, including hepatomegaly, splenomegaly, jaundice, ascites, encephalopathy, dilated abdominal wall veins, spider nevi, palmar erythema, and others, are discussed.
肝硬化是一种由肝脏炎症和纤维化引起的慢性疾病。肝硬化患者可能有多种体检发现,反映了潜在肝脏疾病的严重程度。虽然许多与肝硬化相关的体征和症状是非特异性的,如腹痛、恶心和不适,但有些发现更为具体,提示肝脏疾病的并发症。本文讨论了肝硬化患者的一些主要的体格检查发现,包括肝肿大、脾肿大、黄疸、腹水、肝性脑病、腹壁静脉曲张扩张、蜘蛛痣、手掌红斑等。