In early stage, the prognosis of liver cirrhosis is relative good. Most patients with liver cirrhosis in early stage don’t feel discomfort, nor have complications, they can even work and live normally for several years. However, for patients with liver cirrhosis in late stage, the prognosis is worse, liver cirrhosis patients can even die in a short time if not treated in time.
Especially for patients in decompensated stage, they are most likely to have serious complications, such as ascites, gastrointestinal bleeding, septicemia and hepatorenal syndrome. Their average life is significantly reduced. Therefore, prevention in early stage, diagnosis in time and effective treatment cut down the rate of disability and death and elevate the patients' survival quality.
Factors affecting the prognosis of liver cirrhosis:
1. According to patients’ treatment effect, we can judge the prognosis of liver cirrhosis. If there is no obvious improve in liver failure index after one-month hospitalized treatment, it shows the prognosis is serious.
2. In the middle and late stage of liver cirrhosis, patients will develop various complications. For liver cirrhosis patients with electrolyte disturbance not caused by uretic but Serum sodium (<120mmol/L), the prognosis condition is very serious.
3. The most important factor deciding the prognosis effect is liver failure degree. Ascites is the combined action of liver failure and portal hypertension. If patients have resistance to uretic, the prognosis is dangerous. Besides, when liver cirrhosis patients contain less than 25g/l protein, the prognosis is not good; when the content is less than 20g/l, the prognosis is bad. If patients have symptoms of jaundice and high levels of bilirubinand, the prognosis is serious.
If alcoholic liver cirrhosis, biliary liver cirrhosis and liver cirrhosis caused by hepatic congestion can be eliminated causes before it develops to the decompensated stage, the conditions will be effectively controlled well and the prognosis are better than that of viral liver cirrhosis. The most common causes of liver cirrhosis patients’ death are hepatic encephalopathy, hepatorenal syndrome, esophagogastric variceal bleeding and other complications. But the liver transplantation has greatly improved the prognosis of liver cirrhosis.