Treatment of liver cirrhosis ascites


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The most common complication of cirrhosis is ascites, which is a typical clinical manifestation of cirrhosis portal hypertension. The treatment of ascites is mainly multi-factor treatment, mainly to limit sodium and water intake, sodium intake is generally 500-800mg/day, when the water intake is less than 000ml per day, if there is hyponatremia, it should be limited to 500ml. Diuretics are often combined with potassium-preserving diuretics and micturition diuretics. The combination of furosemide and spironolactone has a good effect. At the same time, when a large number of severe ascites, transjugular intrahepatic portosystemic shunt surgery can be used, and it can also reduce the formation of ascites. At the same time, ascites infusion albumin is also a treatment method to reduce ascites. This method has a short time to relieve symptoms and is easy to induce hepatorenal syndrome and hepatic encephalopathy. Long-term ascites is also prone to spontaneous peritonitis, which requires timely use of antibiotics.