1. compensatory period (generally Child-Pugh a)
May have the hepatitis clinical manifestation, can also concealment the onset. It can have mild fatigue, abdominal distention, mild liver and spleen, mild jaundice, liver palmar and spider nevus.
2. decompensation period (generally Child-Pugh B, C)
Have liver damage and portal hypertension syndrome.
(1) lack of systemic symptoms, emaciation, dark complexion, less urine and edema of the lower limbs.
(2) the digestive tract symptoms of anorexia, abdominal distension, gastrointestinal dysfunction and malabsorption syndrome, hepatogenic diabetes, can appear polyuria, polyphagia symptoms.
(3) the tendency of hemorrhage and anemia, bleeding gums, epistaxis, purpura, anemia.
(4) endocrine disorder of spider nevus, liver palmar, skin pigmentation, female menstrual disorders, male breast development, parotid enlargement.
(5) lower proteinemia with edema of the lower limbs, less urine, peritoneal effusion and hepatic pleural effusion.
(6) portal hypertension and splenomegaly, hypersplenism and portal collateral circulation, esophageal varices, abdominal varices.