Causes of formation: portal hypertension, hypoproteinemia, lymphatic reflux obstruction, increased antidiuretic hormone (aldosterone), hepatorenal syndrome and so on. Infection is often a causative factor.
Clinical manifestations: abdominal distension, breath-holding in the presence of pleural fluid (mostly on the right side). A small amount of pleural and abdominal fluid may have no conscious symptoms, with the increase of the amount of ascites, abdominal distension will gradually worsen, especially after eating.
Treatment:
1, antagonism of aldosterone, commonly used spironolactone, at the same time is a potassium diuretic, the disadvantage of long-term use of the male mammary gland development, can be relieved after discontinuation of the drug, can also be used and amphotericin alternately.
2, diuretic use: furosemide, torasemide, hydrochlorothiazide. Diuretic effect is good, but all the discharge of potassium, generally used in conjunction with spironolactone, the urine volume increased significantly need to supplement potassium, and pay attention to monitoring blood pressure, need to be used under the guidance of a doctor.
3, to correct hypoproteinemia, supplement albumin, here refers to intravenous input.
4, reduce portal pressure commonly used propranolol (price is too low, not good to buy); Octreotide short-acting preparation is limited to use during hospitalization, the price of long-acting preparation is too high, the average patient is difficult to afford.
5, the presence of infection anti-infection treatment, chest water infection at the same time adequate drainage.
6, ascites back to the infusion, the treatment of intractable large amounts of ascites effect is good.
7, Protection of renal function.
8, Interventional therapy TIPS (portal venous shunt).
9, Traditional Chinese medicine.