Ascites
Description:
Ascites (other - Greek — an edema, from — fur for liquid storage), a belly edema — accumulation of free liquid in an abdominal cavity. The quantity it can reach 25 l.
Ascites is a state at which in an abdominal cavity free liquid in large numbers appears.
Ascites is a consequence of cirrhosis in 75%; malignant new growths — in 10%; heart failure in 5% of cases.
Ascites symptoms:
At big ascites the stomach is evenly increased, blown up, his skin is tense, shines; on it expanded veins are visible. Protrusion of a navel due to significant increase in intra belly pressure and development of hernia of an umbilical ring is often observed. At accumulation of insignificant amount of liquid in horizontal position of the patient the paraumbilical area is flattened and flanks of a stomach ("a frog stomach") are stuck out
Ascites reasons:
Ascites — local manifestation of the general circulatory disturbances at heart troubles or result of stagnation of blood in an abdominal cavity owing to difficulty of its outflow.
Main pathogenetic mechanisms:
- Stagnation of blood in a big circle of blood circulation at right ventricular heart failure;
- Portal hypertensia;
- Kantseromatoz of a peritoneum at eviction of cancer cells of malignant tumors of abdominal organs in a peritoneal cavity;
- A local lymphostasis at a filariasis of the absorbent vessels collecting a lymph from abdominal organs or cancer metastasises in regional lymph nodes;
- Gipoproteinemichesky hypostases at starvation, diseases of kidneys;
- Exudation in a peritoneal cavity at peritonitis of various etiology, for example, at tuberculosis and some other, meeting seldom.
Treatment of Ascites:
Elimination of the main disease; for simplification of a condition of the patient appoint diuretics, resort also to a puncture of an abdominal wall or transdermal drainage and deflation of liquid.
