How does the obstinate ascites of liver cirrhosis use the diuresis medicine rationally? 's treatment

How does the obstinate ascites of liver cirrhosis use the diuresis medicine rationally? 's treatment
The maximum absorption of the ascites is measured as daily 700- 900mL. The treatment of ascites patient of liver cirrhosis is improper, use the excessive diuresis of strong diuretic in a large amount, the ascites absorption rate of diuresis rate>, certainly will cause the extracellular fluid to lose in a large amount, the blood capacity of circulation drops, the blood flow of kidney is insufficient, glomerular filtration rate is reduced, further sodium water retention, the electrolyte is disorderly or the obstinate ascites takes place, so, in the course of treating, should follow different function mechanisms of diuretic and patient detailed conditions, use diuretic rationally: Liver cirrhosis at the a large amount of ascites, have at various degrees aldosterone rise, should choose spironolactone (blood plasma aldosterone obviously raise or the intersection of urine and sodium the intersection of urine and potassium first Heavy dose of vein of active medicine of blood vessel is instilled (the dopamine, urine of speed) Influence glomerular filtration rate, it discharges to be often exhausted obvious result to the intersection of urine and quantity and the intersection of urine and sodium, numerous application are apt to lead to the fact the electrolyte is further disorderly.
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