Cirrhotic ascites which treatment method?

Ascites was decompensated cirrhosis of the main performance of one of the more complex mechanism, the current treatment of ascites following methods. (1) first appeared ascites ascites or small, to rest in bed, low-salt diet (salt daily volume 2 ~ 4g). Appropriate restrictions on water intake (daily into the water about one-ethanol). Reasonable nutrition, strengthen Baogan treatment, regular checks of liver function, renal function and blood electrolytes, hypoproteinemia, adequate supplementary albumin, plasma, it will give patients with ascites part dissipated. (2) drug treatment : rest, salt restriction little effect of such measures, should consider the use of diuretics to promote sodium excretion of water, reduce ascites. Commonly used potassium Diuretics are guaranteed security as spironolactone, triamterene chatter acridine. Because of the occurrence of ascites and plasma aldosterone levels, And spironolactone to the competitive inhibition of aldosterone on sodium water retention, increased renal sodium discharge of the sky diuretic effect, so often put on spironolactone as the preferred treatment of ascites. Pai K diuretics is furosemide, tolbutamide amine, Lee uric acid, inhibited the right kidney sodium, chloride absorption and emission potassium, powerful diuretic effect, taking 30 minutes to have an effect. Thiazide diuretics such as hydrochlorothiazide with Cypriots to moderate intensity diuretics, while promoting potassium discharges. Application of diuretics first small and then gradually increase the volume, again first single drug combination. (3) emission ascites therapy : abdominal puncture, ascites released. To prevent complications, in the past the use of a small amount of liquid and the recent study shows that Ascites up large intravenous dose of albumin infusion appropriate, the treatment of refractory ascites significant. (4) Since the reinfusion of concentrated intravenous transfusion therapy : the use of special devices and ascites out, treated and concentrated, Patients then lose. Overcome the advantage is purely up ascites caused the loss of protein. The drawback is repeated abdominal wear, and increase the chances of infection caused by bacterial peritonitis. (5) peritoneal-jugular vein bypass : customized devices, the use of central venous pressure and abdominal pressure on the pressure, Ascites along the pipeline so that the inflow jugular vein, the clinic for the treatment of refractory ascites. (6) thoracic duct shunt : liver lymph increased ascites is one of the reasons why, surgery to thoracic duct and internal jugular vein anastomosis, the speed of the lymph drainage, promote ascites dissipated. (7) transjugular intrahepatic venous shunt (TIPSS) : This method is the use of technology in interventional radiology distributary channel intrahepatic to lower portal pressure, For both esophageal varices with refractory ascites patients is a more effective method. (8) TCM treatment : Chinese medicine for liver cirrhosis and ascites lot of valuable experience. For refractory ascites can choose on a case-by-diarrhea medicine water from the fecal excretion of a great deal of moisture, can often be achieved good results. For those with chronic gastrointestinal disorder, hematemesis and hematochezia history, patients with hepatic coma, is not appropriate application.