Therapeutic principle _'s treatment of liver encephalopathy

Therapeutic principle _'s treatment of liver encephalopathy
[Treat the principle]
A treatment
1. Diet: Begin to prohibit to eat protein, the low albumen (rich plant albumen) hereafter Diet, high heat.
2. Enema or oral administration leads cathartic. Remove and accumulate the food and accumulate the blood, reduce the ammonia and endotoxin to absorb in the intestines.
3 inhibits the intestinal bacterium, oral antibiotic: First nitre thiazole, neomycin.
4. Change the intestinal environment, reduce the production of ammonia to absorb. Fructose 30- 100ml of milk day, divide taking orally or nastal feed 3 times.
Second, accelerate the treatment that the toxic material removes
1. Employ and fall ammonia medicines, can use glutamate or arginine.
2. Quiet to drip pieces of the intersection of chain and amino acid, improve the intersection of amino acid and salt, prop up sweet-smelling than.
3. Fluorine Matheny and small bag tree peony alkali is by resisting GABA/BZ receptor short of moneyly.
Third, protect liver function, promote hepatocyte regeneration: Mixture of energy, polarising the liquid, new blood products, albumin, urge hepatocyte growth factor to be waited for and can be used according to the circumstancesed.
Fourth, remove the inducement: Treatment substantially as arresting blood, mending potassium, having an ease constipation, peritonitis.
Fifth, support to treat to the ill
1. Dehydrate and treat the brain edema, if 20% mannitol is quiet dripped, once every 6 hours. The icecap protects the brain cell.
2. It is disorderly to correct acid-base balance and electrolyte.
3. Prevention of the airway infection.
4. Improve supporting oxygen state of liver and brain.
5. Prevent bleeding, shock.
6. Generally should avoid, use stable the intersection of type and medicine, but manic can receive treatment, in patient, a small amount of very prudent use.

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