How is tummy ring to return a responsibility?

summary

Ascites refers to the excessive accumulation of free fluid in the abdominal cavity, which is a sign rather than a disease. Ascites is defined as ascites when the volume of peritoneal fluid exceeds 200ml in any pathological state. Now let's get to know what's going on with tummy noise? It's a matter of time.

How is tummy ring to return a responsibility?

First, there are many causes of ascites, including cardiovascular disease, liver disease, peritoneal disease, kidney disease, nutritional disorders, peritoneal metastasis of malignant tumor, ovarian tumor, connective tissue disease, etc.

Second, the quantitative diagnosis of ascites is mainly based on abdominal percussion except imaging examination: when the ascites reaches 500ml, it can be confirmed by elbow and knee percussion; Ascites of more than 1000 ml can cause mobile voiced sound. When there is a large amount of ascites, the flank of both sides bulges, such as frog's abdomen; A small amount of ascites can only be detected by ultrasonography.

Third: ascites can be caused by many reasons, involving multiple organs and many diseases. More than 80% of the cases were due to liver cirrhosis, followed by peritonitis and peritoneal tumor or metastasis. In addition, there are other rare causes.

matters needing attention

1. Etiological treatment of ascites should be based on the primary disease, such as tuberculous peritonitis should be given anti tuberculosis treatment, liver cirrhosis should be given liver protection treatment, nephrotic syndrome should be considered hemodialysis, tumor ascites should be given surgical treatment, intraperitoneal infusion of chemotherapy drugs, radiotherapy or interventional therapy according to the condition. 2. Limit sodium and supplement potassium, limit the intake of sodium, increase the discharge of water and sodium, and pay attention to supplement potassium when using diuretics. 3. Diuretic application: when the excretion of urine sodium is reduced, diuretic is added. Oral administration of spironolactone can accelerate urination, and diuretics in this proportion can usually keep blood potassium normal. The body weight (weight loss < 0.5kg / D), electrolyte and renal function were monitored, and NSAIDs were avoided.