Nursing of patients with cirrhotic ascites.doc

 PAGE \* MERGEFORMAT 8 Nursing of patients with cirrhotic ascites [Keywords:] liver cirrhosis Care Cirrhosis is a common chronic liver disease, cirrhosis is the most common cause of ascites. Pathogenesis of liver cirrhosis is a complex cirrhosis usually occurs in late stage liver cirrhosis, and then there will be other serious liver failure situation. cirrhotic ascites formation, sodium and water retention in the former, the formation of ascites in the latter, due to the late portal hypertension, hypoalbuminemia by the “less filling” play a major role. peripheral vascular dilatation in the whole process work. Although plasma capacity and cardiac output increase, the expansion is still not filling the blood vessels and perfusion of vital organs. when renin - angiotensin system, sympathetic and very active in the secretion of aldosterone, and renal prostaglandin E and kallikrein enzyme - kinin content of reduced renal hemodynamics serious obstacles, leading to further Shuinazhuliu, creating a vicious cycle of increasing or refractory ascites. ascites only in the original liver disease was significantly improved after the cure of ascites to consolidate. 1 Clinical data 1.1 General information on the definition of ascites were treated according to international standards to provide a diagnosis of 56 patients with liver cirrhosis. 37 males and 19 females. Aged 55 to 78 years, mean age 46 years. Including 29 cases of liver cirrhosis after hepatitis , 5 cases of alcoholic cirrhosis, hepatitis B surface antigen positive in 24 cases, 21 cases had alcohol habits, family history in 11 cases. 1.2 The large number of clinical manifestations of ascites, abdominal distension, abdominal wall lights shaped like a frog abdominal skin tension, and sometimes significantly higher abdominal umbilical hernia can occur because of diaphragmatic elevation can occur orthopnea. 1.3 Treatment of ascites increased control to reduce the high degree of patient