Hepatalgia - severe liver failure, in most cases leading to the death of patients. May occur on the background of acute or chronic liver disease (hepatitis, cirrhosis, liver poisoning toxins and other). If hepatalgia is auto-intoxification intestinal toxinsreceived no untreated into the General circulation. This is connected with sharp disturbance of functional ability of the liver (especially antitoxic)caused by the formation of massive necrosis in liver tissue. The initial manifestations of hepatalgia - sharp mental agitation, vomiting, aversion to food, a kind of hepatic breath, reduction of the sizes of a liver (you need to carefully determine the position of the bottom edge of a liver several times a day), jaundice. Then comes stupor (numbness, a stiffness), changing coma (see).
Treatment. Patient with hepatalgia be hospitalized. From your diet completely exclude proteins. At rest, the introduction of 40% solution of glucose in Vienna on 20 ml 2-3 times a day; vitamins - 5% solution of ascorbic acid (5 ml), 2 times a day intravenously and nicotinic acid 0.05 g 2 times a day inside, 5% solution thiamine-chloride (vitamin B1) 2 ml intramuscularly or kocarboksilazu 100 mg intramuscularly. Liver extracts (type kampolona), infusion izotoniceski solution of sodium chloride subcutaneously and intravenously (total of 1.5 - 2 l), intestinal lavage using mechanized enema solution of sodium bicarbonate (1 - 2 table. l 3 l of water) or ringer's solution. When acidosis is intravenous 300-400 ml of 4% solution of sodium bicarbonate. Prohibits the introduction of morphine. When a sudden agitation-enema of the chloral hydrate.
Prevention is to prevent infectious and toxic liver damage, leading to massive necrosis of the liver (see), and in the presence of liver disease is to comply with the dietary and careful application of hepatotropic medicines, as well as affecting salt metabolism (diuretics).