What are the contraindications of liver puncture

Patients who have achieved their goals with routine clinical examination methods have a tendency to bleeding, such as cavernous hepatic vascular disease, hemophilia, and prolonged coagulation time, such as the prolongation of the international normalized ratio greater than 1.5, and the reduction of platelets reaching 80×10⁹/L the following. Those who have used aspirin or nonsteroidal anti-inflammatory or antiplatelet drugs in the past 7 days. It is not suitable for those with a large amount of ascites, severe anemia, severe jaundice, poor general condition or hepatic coma. Those with severe extrahepatic obstructive jaundice with gallbladder enlargement are not suitable.

It is not suitable for patients with reduced liver size, unclear liver dullness, and inability to determine the appropriate biopsy site by ultrasound guidance. Patients with suspected hepatic hydatid disease or hepatic hemangioma. Not suitable for those with severe heart, lung, kidney disease or other organ failure. It is not suitable for patients with right-sided empyema, subphrenic abscess, pleural effusion or acute disease of other organs, and patients with infection at the puncture site. Patients with severe hypertension and systolic blood pressure of 24KPa and above are not suitable. Morbidly obese patients, children, the elderly and those who cannot cooperate are not suitable.

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