's treatment of healing solution of the liver cirrhosis ascites

's treatment of healing solution 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. This kind of patient's blood sodium gt; 130meq/l, the intersection of urine and the intersection of sodium and 90- 50meq/24h, the intersection of urine and sodium of urine potassium gt; 2,Removing rate (ch2o) of water of freedom gt; 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.
Type: 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. This kind of patient's blood sodium gt; 130meq, the intersection of urine and the intersection of sodium and 40- 50meq/24h, the intersection of urine and sodium of urine potassium gt; 2,But gt; 1,ch2ogt; 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 " . This kind of patient's blood sodium lt; 130meq/l, urine sodium lt; 10meq/24h, the intersection of urine and sodium of urine potassium lt; 1,ch2o
Point out a patient and can't tolerate water, sodium in the above-mentioned situations. Although carry on taking a photograph of people and should become that make an appointment with a large amount of profit of the on diet, water of restriction; Not still having a diuresis result, often solicit the comprehensive platform of kidney of liver.
Propose the scheme
1,The patient drinking and the ascites appears should stop drinking.
2,Restrict sodium diet (88mmol/d=2000mg/ d) ,And diuresis of and ester in the oral spiral shell.
3,Unless serum sodium lt; Otherwise 120 mmol/l. needn't restrain the liquid from taking in.
4,Do not need to lie in bed.
5,Belly the intersection of wall and getting nervous the intersection of ascites and patient should competent belly wear, once set the liquid 4- 6l free, and carry on limit sodium diet and oral diuretic treatment at the same time.
6,Urine sodium is discharged to determine that contributes to appraising patient's compliance and diuretic tolerance to alimentary therapy.
7,Patient sensitive to diuretic. Should adopt limit sodium diet and oral diuretic treatment. The belly not needing the conduct series dresses and puts the liquid,
8,The liver cirrhosis ascites patient with suitable condition, should consider liver transplantation.
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