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肝硬化腹水的处理较为棘手。笔者认为了解腹水的程度是治疗的基础。一般根据对钠、水耐受性及治疗反应,将肝硬化腹水分为三型,即Ⅰ型(轻 度腹水),Ⅱ型(中度腹水,又称反应性腹水),Ⅲ型(重度或顽固性腹水)。重度腹水时,入水量应为尿量加600ml。由于其常伴有低钠血症,故近来有人提出完全限制口入钠盐,可经静脉大量补充以尽快纠正低钠。同时可采取以下治疗措施。
Cirrhosis of the ascites treatment more difficult. I believe that the degree of understanding of ascites is the basis of treatment. Generally based on sodium, water tolerance and treatment response, the cirrhosis of the ascites is divided into three types, namely type Ⅰ (mild ascites), type Ⅱ (moderate ascites, also known as reactive ascites), type Ⅲ (severe or Intractable ascites). Severe ascites, the amount of water into the urine should be added 600ml. Because of its often accompanied by hyponatremia, it has recently been proposed to completely limit the intake of sodium, can be a large number of intravenous supplement to correct low sodium. At the same time can take the following treatment.