Wednesday, August 29, 2012

What is the therapeutic principle of the elderly's liver cirrhosis? 's treatment

What is the therapeutic principle of the elderly's liver cirrhosis? 's treatment
The therapeutic principle of the elderly's liver cirrhosis is the same as ordinary liver cirrhosis, but should give appropriate adjustment according to the old man's physilogical characteristic. (1)Strengthen the support treatment: With old and feeble progress, the physiological function of the elderly's whole body is low gradually, the physique is relatively bad, the ability that the liver formates the albumen is reduced, so, should pay special attention to strengthening the support treatment, infuse blood plasma, protein preparation and compound amino acid regularly, is beneficial to building up health, help the ascites to disappear and prevent from bleeding. (2)Prevent and treat complication actively: There are more hard compound and disease of the elderly's liver, especially erupt the chance infected simultaneously and increase, so should prevent and treat complication actively, control and infect rapidly. Should choose the most effective antibiotic, the dosage should be enough, the course of treatment should be appropriate longer, but should avoid using toxicants medicines to kidneys. (3)The amount of medicine used is partial and small: The liver medicine supersession ability of liver cirrhosis patients of the elderly is low, especially single amine oxidase (oxidase of mixed function) The function of the system is low, so should be cautious to the liver cirrhosis patients of the elderly administration, the dosage than the appropriate decrease between twenty and fifty, in case that meet accident. (4)Diuretic of rational application: For having ascites and hydropic old liver cirrhosis patient, should use diuretic rationally, pay attention to grasping the dosage, the general dosage should be partial and small. In the course of using diuretic, should pay special attention to preventing water and electrolytic disorder. (5)Handle the upper digestive tract well and bleed in time: When the elderly's liver cirrhosis erupts the upper digestive tract simultaneously and bleeds, blood transfusion is a requisite measure, quantity and speed of blood transfusion that but should notice blood transfusion, so as not to the lung edema take place. The person who has coronary sclerosis should avoid using the vascular pitressin, as to this kind of patient, the operation mortality of the emergency call is very high, should try hard to avoid.
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