Tuesday, April 26, 2016

How treatment of liver cirrhosis

What serious liver cirrhosis, clinically for the treatment of cirrhosis of the disease, it is generally treated with medication, as well as surgical treatment, surgical treatment is mainly refers to the liver transplant, but it should be noted, have more liver transplant serious indications, it does not mean that all patients with cirrhosis are suitable for a liver transplant, in addition, the use of drugs must be carefully considered, especially in some relatively large for liver damage drugs in the use of certain Note that some of the necessary items, if necessary, also need to stop taking it.
What serious liver cirrhosis
1, the treatment of ascites
Repeatedly put a lot of ascites albumin and intravenous infusion for the treatment of refractory ascites. Daily or three times a week to put ascites, while intravenous infusion of albumin. Increase the plasma colloid osmotic pressure on a regular basis a small weekly, multiple intravenous infusions of plasma or albumin. A large number of ascites reinfusion of ascites for the treatment of refractory ascites, or with the state of hypovolemic hyponatremia, hypoalbuminemia and hepatorenal syndrome patients, as well as a variety of reasons urgent need to alleviate the symptoms of the patient.
2, liver transplant
Surgical therapy is suitable for routine end-stage liver disease within. Including irreversible ascites; portal hypertension and upper gastrointestinal bleeding; severe hepatic impairment (Child grade C); liver and kidney syndrome; appear progressive increase of hepatic encephalopathy; cirrhosis foundation with concurrent liver cancer.
3, hepatorenal syndrome

Improve renal function depends on improvement of liver function, so treatment focuses on primary liver disease treatment. On the basis of further treatment. Gastrointestinal bleeding, infection control quickly on predisposing factors. Control of fluid volume to maintain water, electrolyte and acid base balance. Expansion of treatment chosen dextran, albumin, plasma, whole blood and ascites reinfusion of their own and so on, with little or no salt. It can be used with low-dose diuretics and cardiac drugs combined. Vasoactive drugs such as dopamine, prostaglandin E2 may improve renal blood flow, increased glomerular filtration rate.

No comments: