Symptom >> Internal Medicine >> Gastroenterology

Refractory ascites

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Refractory ascites is also known as refractory ascites. That is, after applying strict sodium, water control and full use of diuretics, after a certain period of time, there is no obvious effect, called refractory ascites.

Cause

Cause

The presence of ascites in cirrhosis is related to the degree of liver function damage. The worse the liver function, the harder it is to resolve ascites. Therefore, ascites often develops with the deterioration of liver function.

Examine

an examination

Related inspection

Liver, gallbladder, spleen CT examination of serous effusion pathogen abdominal puncture puddle test

Its clinical manifestations are:

1 hospitalized for more than 6 weeks, after strict medical treatment, although the edema has been reduced, there is still obvious ascites;

2 renal dysfunction, plasma intoxication> 2.4mg%, myorrhea clearance rate <50%.

Diagnosis

Differential diagnosis

Ascites can be divided into simple ascites and refractory ascites. For ascites without infection and hepatorenal syndrome, it is called simple ascites, which can be divided into light, medium and large amounts of 3 degrees. For the refractory ascites, the refractory ascites can be divided into diuretic-resistant ascites and diuretic-refractory ascites. The former refers to the restriction of sodium. Intake (2 000 mg / d) and the use of large doses of diuretics (spirolactone 400 mg / d and furosem 160 mg / d) to treat ineffective ascites; the latter refers to diuretics caused by side effects caused by diuretics Ascites that achieves the optimal dose and causes it to be difficult to resolve.