ABCs of treatment for advanced hepatitis B cirrhosis

  1, examination and treatment (1) insist on taking lamivudine or adefovir, entecavir and other antiviral drugs to control viral replication; (2) anti-yellowing and liver protection treatment; regular review of liver function, alpha-fetoprotein, liver ultrasound, hepatitis B DNA; (3) recommend a gastroscopy in the gastroenterology department to understand the degree of varices in the esophagogastric fundic veins.  2, diet and living Pay attention to rest, avoid smoking and alcohol, avoid greasy, avoid rough food (dried bamboo shoots, shrimp skin, etc.).  3.Complications If the following conditions occur: such as difficult to eliminate ascites, difficult to control persistent elevation of bilirubin, hepatic encephalopathy, hepatorenal syndrome (urine volume gradually decreases, or even no urine), repeated esophagogastric fundic vein bleeding without effect of medical treatment (manifested as vomiting blood or black tarry stool), persistent elevation of methemoglobin, liver ultrasound or liver enhancement CT found abnormal occupancy in the liver, or other serious If you have other serious complications affecting your quality of life, liver transplantation may be considered.  4.Liver transplantation Liver transplantation for benign liver disease (non-tumor) has a 1-year survival rate of about 95% and a 5-year survival rate of nearly 80%, and the quality of life is more stable after 5 years. However, there are some perioperative risks in the early postoperative period. Specific costs are discussed with reference to liver transplantation-related costs and health insurance issues.