Treatment of advanced hepatic ascites

summary

Drug therapy is a common treatment for advanced hepatoascites. If the curative effect is not obvious through rest, salt restriction and other measures, diuretics should be considered to promote the discharge of water and sodium and reduce ascites. Commonly used potassium diuretics such as spironolactone, aminophenazine. Because the occurrence of ascites is related to aldosterone level in plasma * spironolactone can inhibit the retention of aldosterone to water and sodium and increase the excretion of sodium by the kidneys, thereby making it the first choice for the treatment of advanced liver cirrhosis. 　　

Treatment of advanced hepatic ascites

The first, discharge ascites therapy is also the treatment of advanced liver ascites. The ascites were released by abdominal puncture. In order to prevent the occurrence of complications, small amount of ascites was used in the past. In recent years, studies have shown that large amount of ascites plus intravenous infusion of appropriate dose of albumin is effective in the treatment of refractory ascites. 　　

Second, autologous ascites concentrated intravenous infusion therapy. By using special device, ascites can be extracted, processed and concentrated, and then transfused to patients, so as to achieve the purpose of treating advanced hepatic ascites. The advantage is that it overcomes the situation of protein loss caused by simply releasing ascites. Disadvantages are repeated abdominal puncture, increase the chance of infection, prone to bacterial peritonitis.

Third, autologous ascites concentrated intravenous infusion therapy. By using special device, ascites can be extracted, processed and concentrated, and then transfused to patients, so as to achieve the purpose of treating advanced hepatic ascites. The advantage is that it overcomes the situation of protein loss caused by simply releasing ascites. Disadvantages are repeated abdominal puncture, increase the chance of infection, prone to bacterial peritonitis.

matters needing attention

A small number of meals, to eat soft food and non stimulating food, work to fine, avoid hard and rough food.