Ascites treatment of cirrhosis of the elderly

Ascites due to cirrhosis of the elderly NOTES: l, rational use of diuretics, the elderly ascites due to cirrhosis of the use of diuretics should be in accordance with the joint, intermittent, alternating application of the principle of strict control indications. Reply hour as far as possible in 1000 ml or more. Can not diuretics. Drugs should be chosen LIU Xiao-dose diuretic, intermittent treatment, Pai K-K and joint use of diuretics. Some people do not advocate the use of the elderly thiazin-type diuretics, can cause renal vasoconstriction, reduce kidney blood flow. After the application of diuretics. Should be slow to reduce weight. The elderly to be noted in the use of diuretics can cause acute hearing loss, hypokalemia, liver coma, functional kidney failure, it should be carefully observed condition. That deal with problems in a timely fashion, and medication adjustments. 2, catharsis and abdominal puncture release of elderly patients with cirrhosis due to the whole situation is worse than the young, the elderly and the catharsis abdominal puncture a large number of non-tolerance. Should be anti. In the hypokalemic with, hyponatremia ascites due to cirrhosis patients oral 20% mannitol, because drainage from the intestine and electrolyte loss reduced, while lowering portal pressure. For the merger to eliminate gastrointestinal bleeding in patients with intestinal bleeding, can reduce the occurrence of liver coma. However, attention should be paid to a number of people to make too many. Laparoscopies should be put in a small amount of liquid, a number of principles to prevent a large number of liver-induced coma ascites. 3, less weight ascites and diuretics to lose this method is more suitable for elderly patients, the principle is ascites Zaishu people in the same unit of time should not exceed the amount of urine 500 ml.