Family emergency measure _'s treatment of the hepatic coma patient

Family emergency measure _'s treatment of the hepatic coma patient
Clinical manifestation of hepatic coma for have the fidgets, have a liking for sleep, the intersection of speech and unclear, the intersection of spirit and euphoric or depressed, act oddly, the intersection of consciousness and fuzzy, delirium even twitching, going into a coma,etc.. There can be jaundice, becomes thin, the physical sign of primary hepatopathy that spider's mole, liver splenomegaly, ascites, lower extremities are swollen,etc. in the physical examination. The hepatic coma is also called liver encephalopathy, mean because of the serious injury of the hepatocyte, cause the supersession obstacle, can't remove the poisonous supersession product in the blood, or because there is collateral circulation shunted or formed naturally in operation between the door, vena cava, the noxious substance in the blood of portal vein has wound the liver, enter the systemic circulation and cause consciousness obstacle and a series of spirit specializing in going into a coma, neural symptom that the supersession disorder of central nervous system causes directly. For have the fidgets, have a liking for sleep, the intersection of speech and unclear, the intersection of spirit and euphoric or depressed, act oddly, the intersection of consciousness and fuzzy, delirium even twitching, going into a coma,etc. clinical manifestation its. There can be jaundice, becomes thin, the physical sign of primary hepatopathy that spider's mole, liver splenomegaly, ascites, lower extremities are swollen,etc. in the physical examination.
Cause of disease of the hepatic coma
1. Immediate cause. The liver essence filling the air damage can cause hepatic coma, such as liver cirrhosis, serious disease and hepatitis and hepatocarcinoma,etc..
2. Ammonia of blood increases. What has been is it excessive to eaten protein, it is oral ammonium salt or at digestive tract massive haemorrhage, can make ammonia of blood increase, so that produce the spiritual consciousness obstacle and even go into a coma.
3. The electrolyte is disorderly. Should use a large amount of diuretic or put too much ascites, gastrointestinal tract infect vomit, suffer from diarrhoea etc., can enable the electrolyte disorderly repeatedly.
4. Various infection, oxygen deficiency, such as pneumonia, upper airway infection,etc.. Can bring out the hepatic coma while using anaesthetizing, sedative.
Family's emergency processing of the hepatic coma
1. Dispel the inducement of the hepatic coma, prevent from being infected with, pay attention to mending potassium while employing diuresis medicine, forbid sleeping pill and including nitrogen material (egg, milk,etc.) .
2. The diet takes carbohydrate as the core, control the absorption of protein. Enter, go into a coma issue should lower nose in charge of, formulate relying mainly on candy nutritious liquid food in proportion, after the condition takes a favorable turn, should recover diet as soon as possible and ahead of much meal of small quantity, increase protein and take a photograph of people quantity gradually, begin 30- 40 grams, increase by 5- 10 grams every 2- 3 day later.
3. Stay in bed, stand up regularly, in case lung infection and bedsore take place.
4. Low lipoprotein, low albumen, high heat, many vitamins liquid diet.
5. Avoid using medicine such as phenobarbital which damages the liver and including nitrogen medicines.
6. Take moustache every day reed plain 0. Sour 160 milligrams for 6 milligrams and neat mound fruit, can promote hepatocyte regeneration, inhibiting the hepatocyte from changing the sex, necrosis.
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