Regular healing solution _'s treatment of the liver cirrhosis ascites

Regular healing solution _'s treatment of the liver cirrhosis ascites
Because situation and diuresis that the patient tolerates to water, sodium react and have nothing in common with each other, divide patient, ascites of liver cirrhosis, into 3 type, beneficial to, choose therapeutic method.
Type:Mostly send to a small amount of ascites patients for the first time. Through lie in bed, the intersection of limit and sodium, park diuresis medicine, spontaneous diuresis takes place from several days to 2 weeks, the ascites disappears gradually. The intersection of the intersection of blood and sodium of patient this kind of> and 130mEq/ L, the intersection of urine and 24h, 90- 50mEq/ of sodium, the intersection of the intersection of urine and sodium the intersection of urine and potassium> and 2, the intersection of freedom and the intersection of water and ( CH2O) of driving out etc. >Lml/ min, glomerular filtration rate (GRE) With the blood plasma flow of kidney (RPF) Normal. Pointing out a patient will tolerate water, sodium. Can accelerate the ascites and disappear by resisting aldosterone diuretic while treating.
2Type:Mostly the ascites of hitting amount, often take place while taking a photograph of people's too much sodium salt. No spontaneous diuresis will take place to deal with through being above-mentioned. The intersection of the intersection of blood and sodium of patient this kind of> and 130mEq, the intersection of urine and 24h, 40- 50mEq/ of sodium, the intersection of the intersection of urine and sodium the intersection of urine and potassium> and 2, but> 1, CH2O> lml/ min, GRF and RPF are in the normal range. Most cases oppose aldosterone diuretic, or jointly use and arrange sodium diuresis medicine effectively, needn't exercise restraint in drinking the water during diuresis strictly. Pointing out a patient will tolerate difference to sodium, but still tolerate water.
Type:It is a large amount of ascites that last in above 3 months, namely the so-called " difficult managing ascites " . The intersection of blood and sodium <130mEq/L, the intersection of urine and sodium Build it with the scheme
1. The patient drinking and the ascites appears should stop drinking.
2. Only allow sodium diet ' 88mmol/d=2000mg/ d) ,And diuresis of and ester in the oral spiral shell.
3. Unless serum sodium
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