Thursday, March 6, 2008

How to treat severe hepatitis?

Severe acute hepatitis high fatality rate, currently there is no effective treatment, in general, comprehensive treatment measures. (1) general treatment : absolute bed rest, and to prevent cross-infection secondary to fade mainly low-fat liquid diet, Coma patients should nasal feeding through the stomach watch gastrointestinal bleeding, liver coma early symptoms, Fresh high-protein diet can have appropriate restrictions ascites fluid volume. (2) of antiviral drugs : use foreign reports Foscarnet treatment, with satisfactory results. (3) Applied Immune Regulator : ① on early examination in patients with immune stronger immune response, Selection of succinyl - hydrocortisone to reduce the liver cell damage; ② strongly prefer large dose reduction in liver inflammation. (4) pHGF : will be able to stimulate the synthesis of liver cell damage DNA and promote liver regeneration. reduce tumor necrosis factor so as to achieve the treatment of severe hepatitis purpose. Clinical reports of severe hepatitis Early, Application of high-dose (160 ~ 200 mg / day) can be a very important person to 300 ~ 400 mg / day, If combined with a large dose of thymosin (100 ~ 200 mg / day) can improve the outcome. (5) micro-active cycle of drug therapy : the integrated treatment is based on the type of drug scopolamine or small dose of heparin, Danshen microcirculation of the drug can significantly increase the survival rate of severe hepatitis, reduce the incidence of hepatorenal syndrome. (6) the treatment of hepatic coma cirrhotic liver can be found in a coma treatment. (7) severe hepatitis patients with upper gastrointestinal bleeding, infection cerebral edema, renal failure and electrolyte imbalance, the need to strengthen symptomatic treatment, liver and kidney toxicity banned drug can be found in the treatment of cirrhosis of the chapters.

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