Cirrhosis of the liver caused coma how to treat

The treatment of hepatic coma caused by ammonia increased hepatic coma glutamate category, Aceglutamide such as a certain effect, Aceglutamide through the blood-brain barrier, and the decomposition of the glutamate-amino butyric acid is, reduce the role of the brain ammonia. By Amine substances (such as benzene ethanolamine, phenylalanine, gamma-hydroxybutyric tyramine) metabolism disorders caused nervous system symptoms can be used levodopa treatment, levodopa with these amines is antagonistic substances discharged neurotransmitter obstacles, so resume normal function. For each dose of levodopa 100 ~ 150 mg, 10% increase in glucose 500ml intravenous drip, day 1 ~ 2 times. Should the FDA can occur when short-term hypertension, so it is not brain edema application. Severe hepatitis coma are often branched-chain amino acids and aromatic amino acid imbalance. from the normal 3 ~ 3.5 to 2 below. Application of branched-chain amino acid treatment of severe hepatitis and hepatic coma for a certain effect. Moreover, the application of the exchange of blood, in vitro liver perfusion and reperfusion adsorbent hemodialysis filtration or treatment of severe hepatitis and other liver coma, patients can temporarily sober awareness, but not improve survival rates of the disease. Glucagon-insulin therapy can promote the amino acids through the cell membrane and the promotion of protein decomposition, help change and maintain sticks / Fong ratio improvement of hepatic encephalopathy. A daily dose of glucagon 1 ~ 2 mg, regular insulin 6 ~ hypoglycemic, in 10% 500ml intravenous glucose infusion, two to three weeks for a course of treatment. Common side effects of treatment are nausea and vomiting.