U.S.A. hepatopathy is learnt to treat _'s prevention and health care of the guide in liver cirrhosis ascites

U.S.A. hepatopathy is learnt to treat _'s prevention and health care of the guide in liver cirrhosis ascites
American hepatopathy learn the liver cirrhosis ascites treat the guide ' Summary) In all ascites patients, nearly have 85% as the liver cirrhosis due to. The ascites is most common one in liver cirrhosis and the three main complications. The ascites will take place within 10 years to the liver cirrhosis patient to probably have 50% of the compensation period, and the emergence of ascites is an important milestone in the disease process of liver, because the case fatality rate of the person who has ascites obviously rises. Puncture and analyze to the liquid of ascites that it is the fastest, most effective method to diagnose cause of disease of the ascites to check through the abdominal cavity. SAAG [albuminous gradient (g/dl) of serum ascites ]=Serum albumin (g/dl) -Ascites albumin (g/dl) ,Distinguish pulse high pressure ascites and the most effective laboratory test that is not the pulse high pressure ascites of the door is checked on the door, its rate of accuracy is up to 97%. SAAG is greater than or equal to 1.1g/dl, it is the pulse high pressure ascites of the door; On the contrary, it is not the pulse high pressure ascites of the door. If the patient has door pulse and high pressure, there are other reasons which cause the ascites at the same time, its SAAG is still greater than or equal to 1.1g/dl.
Have patient that ascites infect on suspecting, need the intersection of conduct and the intersection of ascites and train, the intersection of ascites and the intersection of leather and blue the intersection of person who dye and relevant inspection. Should collect the liquid of ascites by patient's bed at the time of the cultivation of ascites of walking, pour into the blood blake bottle to train immediately, so can improve the positive rate that the ascites trains greatly. Introduce the main content about the therapeutic guide to the liver cirrhosis ascites of American hepatopathy society as follows: The indication which the abdominal cavity punctures:
1. Have clinical appearing ascites in hospital while being new obvious and a clinic patient should accept abdominocentesis and leave and fetch the liquid of ascites.
2. Because the possibility to bleed is very small, do not recommend employing the fresh frozen plasma or blood platelet.
3. Should include ascites cell counting and total albumen of classification, ascites and SAAG to check in the preliminary ascites laboratory.
4. If suspect the ascites is infected, should train the ascites by the bed with the blood blake bottle.
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