Common treatment of hepatoascites

summary

Ascites is a manifestation of decompensated cirrhosis, which can easily lead to spontaneous bacterial peritonitis, serious disturbance of water and electrolyte and functional renal failure. The treatment methods mainly include protein supplement, sodium and water restriction, diuretic application, intravenous infusion of fresh blood or albumin, ascites infusion plus albumin infusion, ascites concentration and reinfusion, etc

Common treatment of hepatoascites

1. Protein supplement: high calorie and moderate protein diet can maintain the body's nitrogen balance with daily calorie of 8368j and protein of 60-70g. When accompanied with hepatic encephalopathy, low protein diet (< 50g) should be given. 　　

2. Limit sodium and water: limit the intake of sodium and water, give salt free or low salt diet, daily intake of sodium 500-800mg; water intake is limited to about 500-1000ml / d. 　　

3. Diuretics: after 4 days of low sodium diet and limited water intake, those who lose less than 1 kg should be treated with diuretics, spironolactone should be the first choice, and the weight loss should not exceed 2 kg per week.

matters needing attention

Patients with liver ascites digestive ability is poor, do not like to eat, so to eat some can stimulate their own delicious, eat fresh fruits and vegetables. But patients can not eat spicy and hard food, because stimulating food can cause esophageal varices rupture or bleeding.