肝硬化病人出现腹水的西药治疗（Treatment of ascites in cirrhosis patients by Western Medicine）.docVIP

肝硬化病人出现腹水的西药治疗（Treatment of ascites in cirrhosis patients by Western Medicine） After the ascites occurs in patients with hepatitis or cirrhosis, the following Western medicine treatment can be taken according to the condition when taking the prescription, low salt, less drinking water and eating digestible food: The use of diuretics, the aldosterone preparation, spironolactone (spironolactone) is the first choice. When an invalid antialdosterone preparation, can consider the combined use of thiazide diuretics (such as hydrochlorothiazide) and medullary loop diuretic (such as furosemide). Attention should be paid to the balance of water and electrolyte during diuretic use. Blood potassium, sodium, chlorine and calcium should be measured regularly. Attention should also be paid to correcting hypoproteinemia. Such as the treatment of ascites is not reduced, but increased or abdominal distension accompanied by abdominal pain, should be carried out to determine whether the ascites, primary peritonitis. Even without specific symptoms and ascites and ascites routine should also be determined, in order to exclude the ascites, tuberculous peritonitis, ascites etc.. If a large amount of ascites, feeding and heart and lung function, may discharge ascites, preferably not more than 2000 per 3000 ml, protein content at the same time as the supplement of ascites in loss of 70% or the use of polyacrylonitrile membrane ultrafiltration reinfusion. In recent years, the treatment of ascites has been re evaluated: the treatment effect is better, less complications, shorter hospitalization time, little impact on liver and kidney function. For intractable ascites, it can also be a rapid, effective and safe emergency method. However, if the patient is suffering from high jaundice or accompanied by infection, gastrointestinal bleeding, hepatic encephalopathy, it is not appropriate to discharge ascites. Intractable ascites is also feasible for surgical treatment, including abdominal and jugu