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由于乙型肝炎的流行,肝硬化腹水的发病率明显上升,临床已不少见。关于肝硬化腹水的治疗,长期以来,在教科书和医学教学中,都把严格限钠作为一项必须严格遵守的原则,谁都不敢违背。因此,在实际治疗中,不但不给含钠液体,而且病人只能进食低盐甚至无盐饮食,其主要理论依据是Na~+可促进或加剧腹水的形成。这个理论长期以来被临床医师崇尚为权威性理论,不敢逾越。 我们知道,肝硬化腹水形成的机理主要是:(1).门脉高压,门静脉系统血液静压力明显增高;(2).明
Due to the prevalence of hepatitis B, the incidence of cirrhosis and ascites has risen significantly, and clinical practice is not uncommon. For the treatment of cirrhosis and ascites, for a long time, in the textbooks and medical teaching, strict sodium restriction as a principle must be strictly observed, no one dare to violate. Therefore, in the actual treatment, not only do not give sodium-containing liquid, and patients can only eat low-salt or salt-free diet, the main theoretical basis is Na ~ + can promote or exacerbate the formation of ascites. This theory has long been advocated by clinicians as an authoritative theory, can not be overstepped. We know that cirrhosis of the formation of ascites are mainly: (1) portal hypertension, portal hypertension, blood pressure was significantly increased; (2) Ming