Excess free liquid accumulated in abdominal cavity is called ascites, also known as "water swelling" or "water swelling".

Ascites may be a part of systemic edema. Under normal circumstances, there may be a small amount of liquid in the abdominal cavity, but it is generally not.

Will exceed 200 ml, if the abdominal cavity free fluid exceeds 1500 ml, there may be moving voiced sound.

The examination method is: the patient lies on his back in bed, bending his legs, and the examiner pats his abdomen. When the turbidity is high,

"Knock, knock, knock, knock, knock, knock, knock, knock." . After that, the examiner's hand was still in the voiced sound.

Make the patient change his position and take a lateral position. At this time, the examiner taps the original position and can find that the sound is heavy.

Heavy or disappear).

If abdominal bulge is found, it should also be associated with obesity, huge ovarian cyst, bladder filling,

Huge hydronephrosis, pregnancy, flatulence, etc. The difference between ascites and obesity: obesity can occur all over the body.

Its position is plump and obese, the abdominal fat layer is thick, the abdomen is spherical and swollen, and there is no frog abdomen (that is, when lying on your back, due to

Ascites flows to both sides of the abdomen, and the central abdomen has no feeling of fullness, which looks like a frog's abdomen. The navel sinks and there is no movement turbidity.

Sound. The difference between ascites and giant ovarian cyst: when the ovarian cyst is huge, the abdomen is obviously swollen and looks like ascites, but

Long medical history, slow onset and no obvious systemic symptoms. In supine position, abdominal protrusion is more obvious than both sides.

The navel moves upward, the maximum abdominal circumference is below the navel level, and the appearance is asymmetrical. The umbilicus moves upward, which is the most

Abdominal circumference is below the level of umbilical cord, and its shape is asymmetric. The distance from umbilical cord to the apex of bilateral ilium is unequal. Knock on the door.

When hitting, the flanks are mostly drums. The difference between ascites and gastrointestinal distension: when gastrointestinal distension, such as acute gastric distension, is slow

Intestinal obstruction. The patient's abdomen swells due to the high inflation of the gastrointestinal tract. When knocking, the whole abdomen is beating drums and there is no activity.

Voiced abdominal distension can occur in other cysts or ascites, but it is characterized by a long course of disease.

The onset is slow and there are no obvious systemic symptoms such as fever, headache, nausea and vomiting. And the bulging abdomen is not in the right shape.

It is said that one side or one side of the waist and hypochondrium swells and bowel sounds can be heard. Generally, it's best if you can't tell it by yourself.

Go to the hospital for treatment.

The causes of ascites can be cardiovascular diseases, liver diseases, kidney diseases, malnutrition and so on. Due to the shape of ascites

The cause of ascites is different, and the cause of all ascites is different. After the formation of a large number of ascites, proteinuria can occur.

The phenomenon of decreased urine output. Patients with ascites may also have weakened or disappeared abdominal respiratory movement, accompanied by other symptoms.

If congestive heart failure is brown, it may be accompanied by palpitation, shortness of breath, cough, hemoptysis and systemic edema. ; tuberculosis

Patients with peritonitis may have symptoms such as fever, fatigue, loss of appetite, abdominal discomfort or pain, especially children.

And young people; Ascites due to liver cirrhosis, the onset is hidden, the course of disease is slow, hepatomegaly will occur in the early stage, or only poor appetite.

In the later stage, symptoms such as nausea and vomiting, pain and discomfort in liver area, varicose veins of abdominal wall, splenomegaly and spleen function may occur.

Hyperactivity disorder, some patients will also appear pale, emaciation, anemia, spider nevus (from dilated arterioles and their fine

A bright red mole with small branches, resembling a spider, is common on the face, neck, upper chest, shoulders and upper limbs, and brown hair.

Red, feminine male breasts, etc. , can also be complicated by upper gastrointestinal bleeding, infection and hepatic coma. This disease is easy to happen.

Middle-aged man, with a large amount of ascites and moderate splenomegaly, felt the liver and found the texture hardened. But if the reason is not clear

When, can be symptomatic treatment.

If patients with ascites appear, they can be told to stay in bed first, and if they have difficulty breathing, they can take the slope.

Lie down, temporarily give a high-protein diet, limit the intake of sodium salt, and at the same time limit the liquid appropriately.

Intake (such as water, drinks, porridge, etc.). ). In order to better understand the condition, observe the changes of ascites every day.

In addition, you can also use a tape measure to measure the patient's abdominal circumference every day, record the changes and compare them.

Ascites is one of the common clinical symptoms. The formation mechanism of ascites is complicated, and once it is formed, it is easy to cause abdominal infection.

It's hard to treat. Refractory ascites is one of the serious complications of late liver disease. Patients have poor quality of life and often die.

Can be used for treating hepatorenal syndrome, hepatic encephalopathy or ascites infection. On the basis of supplementing a large number of protein, plasma and other products, intermittently.

Ascites drainage is still the main method to treat this disease in most hospitals. Because this method takes a short time and is easy to relieve symptoms.

It causes cross infection, and repeated ascites is easy to induce hepatic encephalopathy, gastrointestinal bleeding and ascites infection, so its application is limited.

Restrict. Intravenous catheter for reinfusion of ascites was once popular, but its indications were narrow (patients' ascites should be non-infectious and non-infectious).

Leakage of endotoxemia), which has great interference to systemic circulation, and has adverse reactions such as fever after treatment, and is gradually concentrated by ultrafiltration.

The method of withdrawing abdominal cavity infusion was replaced by it.