Saturday, January 12, 2008
In patients with cirrhosis at how do ascites
General hepatitis patients no ascites, only in severe hepatitis and cirrhosis only occur late ascites. There ascites patients first feel distension, urine loss and will be there when ascites Frog-shaped belly. At this point the patient to less into salt, eat the indigestible parts eating, drinking water should exercise restraint, but also the volume of fluid in and out, get sufficiently good. Every day, abdominal circumference and weight measurements and record keeping. When necessary, under the guidance of the doctors taking diuretics to antisterone choice. Diuretics should be applied to the electrolyte balance, periodic testing hypokalemia, hyponatremia, the blood of chlorine. If electrolyte disorder, the patient will sluggish, muscle tension change can be a serious abdominal distension, peristalsis disappear, HR disorder, and sometimes even as cardiac arrest. Therefore, when necessary, take corrective lose protein hypoproteinemia. If the swelling increased, accompanied by abdominal pain should be conducted from a small puncture ascites examinations, in order to identify the nature of ascites. For various reasons, which led to ascites caused the intolerable palpitation, dyspnea, abdominal distension, puncture fluid to reduce the pain. In addition, also for abdominal puncture in the intraperitoneal injection of antibiotics or anti-cancer drugs to cope with the treatment. Intraperitoneal injection of patients should pay attention to the following points : 1. Do abdominal puncture before voiding, bladder to prevent injury. 2. The puncture or put ascites process if flustered, dry mouth, difficulty in breathing, heart rate increase to promptly notify the doctor. 3. Large ascites patients in paracentesis ascites after bed rest for 24 hours, so as to avoid the perineum, the Department of scrotal edema and puncture wound ascites spills. For ascites spills shall immediately inform the timely replacement of medical dressings or application abdominal bandage compression bandage to prevent abdominal infection.
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