If a patient with cirrhosis has abdominal distension, it is recommended to find out whether there is cirrhotic ascites. If cirrhotic ascites is already present and the abdominal distension is still aggravated, it is necessary to find out whether electrolyte disorders and spontaneous peritonitis occur, and these need to improve the relevant examination, which can be adjusted according to the patient’s condition. It is important to pay attention to regular electrolyte review and correct electrolyte disorders. It is recommended that albumin be infused at least twice a week to increase colloid osmotic pressure and promote ascites regression, and attention must be paid to monitoring changes in urine volume and weight during regression. Patients with cirrhosis who have abdominal distension also need to understand whether there is the possibility of liver cancer. Patients with liver cancer can show enlarged liver and large spleen, so, they can also show abdominal distension, but patients with liver cancer will have more obvious symptoms of abdominal pain. Patients with liver cirrhosis who have a very large spleen will also have very serious abdominal distension. In this case, a comprehensive assessment should be made according to the patient’s condition, and if necessary, spleen excision surgery is required.