Ascites symptoms?

summary

There are many causes of ascites. Whether ascites is leaky or exudative, it can be caused by a variety of diseases. Therefore, in the case of patients with ascites, we should determine the nature of ascites as soon as possible, and then actively look for the cause. Ascites symptoms? Let's talk about it.

Ascites symptoms?

1. The intake of sodium and water should be strictly controlled in ascites patients, especially those caused by hypoproteinemia; The diet should be high sugar, high protein, high vitamin and low fat; Low salt diet is also suitable for all patients with leakage or exudative ascites. The purpose is to remove as much excess water from the body as possible through the kidney.

2. Diuretics in order to accelerate the excretion of water from the kidney, diuretics can be used. In general, potassium retention and excretion diuretics should be used in combination, or diuretics acting on different parts of the kidney should be used in combination to achieve the best diuretic effect without electrolyte disturbance (especially to prevent the increase or decrease of serum potassium ion). The type and dosage of diuretics should follow the principle of different people, different amount of ascites and different primary diseases. Generally speaking, ascites can be sucked back into the blood through the peritoneum and then discharged out of the body through the kidney. However, the amount of ascites sucked back into the blood through the peritoneum every day has a certain limit. Therefore, the larger the dosage of diuretics, the more obvious the decrease of ascites. Therefore, the dosage of diuretics should be determined according to different diseases, and the dosage should be gradually increased from small dosage.

3. Supplement albumin or accelerate protein synthesis. If ascites is mainly caused by hypoalbuminemia and the decrease of plasma colloidal osmotic pressure, in addition to more food with high protein content, it is necessary to supplement albumin intravenously to increase plasma colloidal osmotic pressure. After albumin infusion, the diuretic effect of diuretics can be better played, and the urine volume will be significantly increased. In recent years, studies have found that recombinant human growth hormone (rhGH) can be used in ascites caused by hypoproteinemia of liver disease; The mechanism is that the drug can promote the synthesis of protein in liver cells to increase the content of serum albumin.

matters needing attention

In order to improve the renal blood supply, vasodilators, such as Ligustrazine 100-150mg or dopamine 20-40mg, can be used to enhance the diuretic effect.