What does liver ascites have illness coming on in the mechanism? 's prevention and health care
The liver ascites is the most outstanding clinical manifestation of liver cirrhosis; There is ascites above losing and compensating patient 75%. The excessive retention that the mechanism that the ascites forms is sodium, water, relate to following abdominal cavity's some factor and factor all over:
a: The pressure of portal vein increases: While exceeding 300mmH2O, the quiet water pressure of blood vessel bed of abdominal cavity's viscera increases, go back to absorb, reduce the tissue fluid and seep in the abdominal cavity.
b: Low albuminous blood disease: When white egg is lower than 31g/L, the colloid of blood plasma permeates, presses, reduces, cause and ooze outside the blood composition.
c: Drench and the Palestinian liquid is turned into too much: At the time of the intravenous reflux blockage of liver, the blood will permeate the interval by the sinus from the liver sinus wall, cause the lymphocytic liquid of gallbladder to turn into and increase (about 7-11L of every day, it is 1-3L that normal) ,Exceed the intersection of chest and ability that conduit guide, lymphocytic liquid liver make membrane and liver door lymphatic vessel ooze out to the abdominal cavity since.
d: Then the sending aldosterone increases and causes kidney sodium to reabsorpt and increase.
e: Secrete vasopressin, increase the reabsorption which causes water increases.
f: The blood of effective circulation is insufficient in capacity: Cause the orthosympathetic activity to increase, prostaglandin, atrium and kallikrein - kinin activity is reduced, thus cause renal blood flow, arrange sodium and urinating amount to reduce.
The above-mentioned many kinds of factors, form and last the function played at stage to lay particular emphasis on in the ascites to some extent, liver function complete and portal vein runs through the whole course under high pressure among them. The ascites often has abdominal distension before appearing, a large amount of water made the belly expand grandly and tightening the hair highlightedly in the belly wall, like frog's belly, it is difficult for the patient to walk, the diaphragm is raised notably sometimes, breathe and umbilical hernia in appearance. Some patients see more the right side, the ascites through the diaphragm lymphatic vessel or is opened one's mouth to enter due to thorax by a sex with water of chest.
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