Attentive matters _ treatment of the elderly's liver cirrhosis with therapeutic ascites

Attentive matters _ treatment of the elderly's liver cirrhosis with therapeutic ascites
The attentive matters of the elderly's liver cirrhosis with therapeutic ascites: l , the use of diuretic should be according to uniting, intermittence, alternative principle application when using the elderly's liver cirrhosis ascites of diuretic rationally, control and adapt to the card strictly. Guide, try hard until 1000ml getting the above-mentioned hour. Can not use diuretic. Medicines select for use should begin while being low dose of from the intersection of diuresis and Liu, intermittence give medicine, arrange potassium with protect potassium diuretic, jointly use. Someone does not maintain the elderly use piperazine diuretic, in order to cause the kidney blood vessel to shrink, reduce renal blood flow. After diuretic is employed. Should make the weight lighten slowly. Potassium, hepatic coma, functional renal function are depleted that it can cause failing, low blood of acute hearing that the elderly should notice while using diuretic, so should observe the condition carefully. Discover the problems to deal with in time, change and use medicine.
2,Lead, rush down with abdominal cavity puncturing, putting liquid there is something special difference relatively between twenty and more fifty with old liver cirrhosis patient all, so the elderly rush down to leading and a large number of abdominal cavities puncture and put the liquid and does not tolerate. It is used that should be careful. Can take 20% mannitol orally with low potassium, liver cirrhosis ascites patient of the hyponatremia disease, because drain off water from the intestine, the electrolyte is lost and relatively reduced, can reduce the venous pressure of the door at the same time. Dispel the intestine, accumulate the blood amalgamating patient, bleeding of digestive tract, can reduce the emergence of the hepatic coma. But should notice people make the one of number of times should be too much. The abdominal cavity should go on to put the liquid adhering to the small, numerous principle to puncture, in order to prevent putting the ascites and bringing out the hepatic coma in a large amount.
3,Lack heavy ascites, go back, fail, add the intersection of diuretic and law this, suitable for old patient relatively, principle fail again ascites the intersection of people and quantity should exceed the same units of the intersection of time and the intersection of urine and 500ml of quantity.
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