Complications of cirrhotic ascites

  Complications related to cirrhotic ascites: First, cirrhotic ascites will cause a large amount of fluid loss in the patient’s body and a decrease in effective blood circulation, resulting in hyponatremia and hypokalemia. It will also cause imbalance of acid-base metabolism in the body and cause serious disorders of the internal environment.  Secondly, a large amount of ascites causes the patient’s intestines to float in water and the peristaltic function of the intestines is weakened, plus the patient is often combined with hypokalemia can cause paralytic intestinal obstruction. The patient’s exhaustion and reduced defecation aggravate the symptoms of abdominal distension, which can cause indigestion, nausea, vomiting and other related symptoms.  Again, the large amount of ascites causes the patient’s abdominal pressure to rise, causing the diaphragm to be elevated and the compliance of the lungs to decrease, causing the patient’s gas exchange function to be weakened during respiration, resulting in the patient’s hypoxic performance, which can also cause pleural effusion, atelectasis and other clinical manifestations.  Finally, under normal circumstances, the intestine contains a large number of bacteria, which cannot enter the abdominal cavity through the intestinal wall because of the normal intestinal mucosal barrier. Patients with cirrhosis combined with a large amount of ascites will cause edema of the intestinal wall and weaken the barrier function of the intestinal mucosa, and a large amount of intestinal bacteria will enter the abdominal cavity through the intestinal wall causing acute peritonitis manifestations such as abdominal pressure pain, rebound pain and abdominal muscle tension.