What is the treatment principle of liver cirrhosis?

1. General treatment includes ① rest; 2 diet; Ensure the supply of calories and protein, give high-vitamin, digestible food, and do not drink alcohol. People with esophageal varices fast hard and coarse food. ?

2. Drug therapy: At present, there is no exact and effective drug to reverse liver cirrhosis. ?

3. Treatment of ascites:?

General treatment of ascites?

① Control the intake of water and sodium. ?

② Application of diuretics: spironolactone, an aldosterone antagonist, is the first choice. ?

③ Improve plasma colloid osmotic pressure: For patients with hypoproteinemia, albumin and plasma can be infused regularly every week. ?

2) Treatment of refractory ascites?

① Drainage of peritoneal effusion and albumin infusion. ?

② Autologous ascites was concentrated and reinfusion. ?

③ Transjugular intrahepatic portosystemic shunt. ?

④ Liver transplantation. ?

4. Treatment of portal hypertension: surgical treatment is the main choice, including devascularization, shunt and splenectomy. ?

5. Treatment of complications?

(1) esophageal variceal bleeding:?

1) intensive care: stay in bed quickly and keep the circulating blood volume stable. ?

2) control acute bleeding?

① Drug therapy: pituitrin and its derivatives, somatostatin and its derivatives. ?

② Three-lumen and two-sac tube compression hemostasis. ?

③ Endoscopic treatment?

4 emergency surgery?

3) Prevent rebleeding?

① Endoscopic treatment?

② Drug therapy: Propranolol is commonly used. ?

③ Surgical decompression or disconnection. ?

④ liver transplantation?

6. Spontaneous peritonitis: The main pathogen is gram-negative bacilli, and cefotaxime or ceftriaxone is the first choice for empirical treatment. ?

7. Liver transplantation: suitable for patients with end-stage cirrhosis.