Can cirrhosis ascites be cured in the later stage?

Hello! Ascites has appeared in the late stage of liver cirrhosis, which belongs to decompensation stage. Treatment remarks: 1. The treatment of primary ascites depends on the primary disease. Such as tuberculous peritonitis should be given anti-tuberculosis treatment; Suppurative peritonitis caused by perforation of abdominal organs should be treated surgically. Tumor ascites should be treated by surgery, chemotherapy, radiotherapy or interventional therapy according to the condition. 2. The basic treatment of ascites, including bed rest and diet therapy. Ascites indicates the severity of the disease. No matter what causes ascites, basic treatment cannot be ignored. 3. Bed rest, bed rest is extremely important for the recovery of heart, liver and kidney function, which is conducive to the regression of ascites. On the one hand, bed rest can increase liver blood flow, reduce liver metabolic load and promote the reabsorption of ascites through the lymphatic space of diaphragm; On the other hand, it can increase renal blood flow, improve renal perfusion and eliminate water and sodium retention. 4. Diet therapy, rich nutrition and enough calories are necessary conditions for ascites recovery. The content of supply should vary according to the condition, such as protein and vitamins should be supplemented when hypoproteinemia occurs; For those with severe renal function and liver failure, protein should be limited, mainly carbohydrates; For hepatic ascites, there should be enough calories, and the daily calories should be above 2000Kcal, mainly to supplement carbohydrates. Protein should be 1 ~ 1.2g/kg per day, and protein should be limited to about 0.5g/kg per day in hepatic encephalopathy. 5. Appropriate amount of fat should be added. In order to reduce catabolism, patients with liver cirrhosis should advocate eating between meals. Gog et al reported that on the basis of the original treatment, 28 patients with refractory cirrhosis and ascites were given short-term intravenous injection of 250ml of 20% fat emulsion every other day 1 time, 5-6 times 1 course of treatment. The results showed that the patients' spirit and appetite were obviously improved. Ascites subsided in 65,438+06 cases and decreased in 65,438+00 cases. It is considered that 20% fat emulsion combined therapy can improve refractory ascites in liver cirrhosis. 5. Drugs and treatments for ascites due to liver cirrhosis: Clinically, most patients have adopted liver protection therapy, albumin infusion, trace element infusion and diuretics, but in the end, when liver protection could not be maintained, splenectomy was performed. The operation only temporarily relieved the problems of portal hypertension and upper gastrointestinal bleeding, but we must pay attention to the maintenance of the liver after operation. Our hospital advises patients not to have surgery as much as possible, and it is best to take symptomatic treatment. Cirrhosis is reversible. What color are Yinruanjian Decoction and Biejia Ruangan Decoction in treating liver ascites due to cirrhosis? The liver disease treatment center of Shijiazhuang Expert Group Hospital in Hebei Province adopts natural pure Chinese medicines of animals, plants and minerals, combined with modern high-tech biological gene therapy. A special medicine, Yinruanjian Decoction, was successfully developed. Biejia Ruangan Decoction is a patented medicine researched by our hospital, which breaks the traditional treatment methods of promoting blood circulation and removing blood stasis, soothing the liver and regulating qi, softening the liver and nourishing the kidney. The medicine has the functions of softening and hardening the liver, contracting the liver and spleen, increasing albumin level, reducing portal hypertension, blocking the formation of liver fibrosis, increasing albumin level and promoting the synthesis of albumin in the liver. Patients with ascites due to liver cirrhosis usually need 3-7 days, and severe cases 10- 15 days can reverse the condition of patients with liver cirrhosis.