Reinfusion of concentrated ascites

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Ascites reinfusion in the treatment of ascites due to cirrhosis:The indications for intractable ascites of cirrhosis, such as liver and kidn

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Ascites reinfusion in the treatment of ascites due to cirrhosis:

The indications for intractable ascites of cirrhosis, such as liver and kidney syndrome; due to the large number of ascites caused dyspnea; low salt diet after two weeks of weight reduction; not adhere to regular medical treatment; repeated hospitalization of patients.

The patient should be checked before reinfusion of ascites:

General should be the routine examination for patients following liver cirrhosis ascites ascites to discovery; blood routine, urine routine, stool routine and occult blood; platelet count and clotting time; liver function tests (including serum bilirubin and transaminase, albumin); blood urea nitrogen, potassium and cholesterol; prothrombin time and prothrombin percentage; liver B: electrocardiogram, bile.

Treatment of ascites due to cirrhosis with ascites reinfusion:

Its contraindications are:

(1) patients with severe hepatitis and blood total bilirubin of 171 mol/L;

(2) there are significant bleeding tendency in the short term;

(3) more than II of hepatic encephalopathy;

(4) patients with uncontrolled ascites due to primary peritonitis;

(5) severe cardiac and pulmonary insufficiency;

(6) bloody ascites, suspected tumor or tuberculosis;

(7) newly developed upper gastrointestinal bleeding.

Ascites reinfusion in the treatment of ascites due to cirrhosis:

(1) fever;

(2) diffuse intravascular NE blood (DIC);

(3) anaphylactic shock;

(4) upper gastrointestinal bleeding;

(5) hepatic encephalopathy;

(6) electrolyte disturbance.

Ascites reinfusion in the treatment of ascites due to cirrhosis:

Its attention is:

(1) the speed should not be too fast;

(2) observe the changes of respiratory, pulse, blood pressure and heart and lung function;

(3) strict implementation of aseptic manipulation, and preoperative dexamethasone and other drugs;

(4) the changes of blood biochemical indexes should be observed after operation;

(5) proper use of antibiotics to prevent secondary infection;

(6) oral lactulose to reduce the absorption of ammonia and other toxic substances in order to prevent the occurrence of hepatic encephalopathy.

 

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