How is liver coma treated

Update Date: 2023-09-24 Source: Network

summary

Hepatic encephalopathy must be unknown to many people. We call it hepatic coma, which is caused by severe liver disease. This disease is mainly caused by the disturbance of central nervous system with disturbance of consciousness. It can be divided into acute and chronic encephalopathy. The former is mainly caused by the serious disturbance of detoxification function of liver after acute liver failure. Now let's introduce how to treat the first stage of hepatic coma

How is liver coma treated

Method 1: carefully release ascites, only in a large number of ascites, obvious compression symptoms, circulatory disorders as a measure of treatment. In general, the volume of abdominal drainage should not be more than 1-2l, which can slightly relieve the compression symptoms. It is necessary to prevent abdominal infection caused by releasing ascites, syncope caused by releasing ascites too quickly and sudden drop of blood into liver, which will accelerate hepatocyte necrosis and promote hepatic coma. Hypertonic glucose, plasma albumin or blood transfusion can be injected before ascites release.

Method 2: when there are symptoms of pre coma, it is appropriate to use drugs to reduce blood ammonia and remove and replace pseudo neurotransmitters in the early stage.

Method 3: pay attention to prevent, remove and inhibit the production and absorption of microbial endotoxin and intestinal ammonia. Actively correct the disorder of water, electrolyte and acid-base balance.

matters needing attention

For those who can eat carbohydrates, choose glucose, rice soup, lotus root powder, fruit juice, jam, jelly, etc., as well as fine grains and fruits with less fiber. Soybean products are rich in leucine, isoleucine and other branched chain amino acids, which is a good source of protein for patients with hepatic encephalopathy. Milk protein production of ammonia is less, and can be increased gradually when the condition is improved. We should pay attention to the change of electrolyte and correct electrolyte disorder.