Integrative Medicine on the treatment of refractory ascites due to cirrhosis in 1 case.docVIP

 PAGE \* MERGEFORMAT 8 Integrative Medicine on the treatment of refractory ascites due to cirrhosis in 1 case [Keywords:] WM therapy ascites liver cirrhosis with ascites fluid Zhang, male, 51 ,2007-01-02-year-old doctor. Main cause of intermittent fatigue, abdominal distension 3 years, increased 20 .3 years ago, admitted there was no obvious incentive to fatigue, abdominal distension, the diagnosis of cirrhosis in a hospital, her condition improved after treatment .3 years of recurring ascites, abnormal liver function. 20, sicker because of mood swings, abdominal fullness, bulging, weak obviously, with oliguria, to the local clinic to give 10 g of albumin infusion, day 1, Furosemide Injection 80 mg, 2 times a day muscle injection, spironolactone tablets 100 mg, 2 times a day orally, hydrochlorothiazide tablets 75 mg, 2 times a day orally and Chinese medicine treatment (specific drugs unknown more than 10 days, the condition was no better. symptoms: fatigue, anorexia, abdominal distension , oliguria, normal stool. Examination: Shen Qing, the spirit of poor, light yellow skin and sclera stained, superficial lymph nodes are not touched, there is liver palms, spider angioma, and abnormal heart and lung auscultation did not hear, abdominal distension, abdominal varicose veins there , no tenderness, rebound tenderness, liver and spleen not palpable, positive shifting dullness, percussion pain-free region of both kidneys, both lower extremities without edema refers to concave. B-show: cirrhotic ascites, splenomegaly (portal vein 14 mm, the spleen anteroposterior diameter of 57 mm, ascites liquid dark area before the liver, the maximum anteroposterior diameter of 52 mm, hepatitis B surface antigen (HBsAg), hepatitis B e antigen (HBeAg), hepatitis B core antibody (anti-HBC) were positive, alanine aminotransferase (ALT) 39 U / L, aspartate aminotransferase (AST) 45 U / L, albumin (ALB25.32 g / L, total bilirubin (TBIL31 μmol / L, quantitative detection of hepatiti