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肝硬化腹水经理想的住院治疗,多数肝功能可恢复,低蛋白血症可能纠正,肝脏内循环改善,肾滤过率增加,腹水消失。但是,肝硬化腹水的复发率非常高,而且治疗越来越困难。所以,出院以后预防复发至关重要。 饮食方面 肝硬化患者存在继发性醛固酮增多,尿钠排出减少,肾远曲小管潴钠蓄水作用加强,高盐膳食更进一步增加血钠水平,可诱发腹水。同时,肝硬化病人蛋白质合成障碍,白蛋白降低,若长时间低蛋白饮食,可加
Cirrhotic ascites Ideally hospitalized, most of the liver function can be restored, hypoalbuminemia may be corrected, liver circulation improved, renal filtration rate increased, and ascites disappeared. However, the recurrence rate of cirrhosis and ascites is very high, and the treatment is more and more difficult. Therefore, prevention of recurrence after discharge is crucial. Diet cirrhosis patients with secondary aldosterone increased urinary sodium excretion decreased renal tubule retention of sodium water storage to strengthen the role of high-salt diet to further increase the level of serum sodium can induce ascites. At the same time, patients with cirrhosis of the protein synthesis disorder, albumin decreased, if the low-protein diet for a long time, can add