I. Acute hepatitis
1, Acute hepatitis routine care, proper rest, reasonable diet, strictly prohibit the consumption of alcohol.
2, improve and restore liver function treatment, reduced glutathione, bitter yellow, salvia, magnesium isoglycyrrhizate, etc.
3, further auxiliary examination ……
Second, chronic hepatitis
1, chronic hepatitis routine care, appropriate rest, pay attention to the patient’s psychological condition, reasonable diet, strictly prohibit alcohol consumption.
2, improve and restore liver function treatment, reduced glutathione, bitter yellow, salvia, magnesium isoglycyrrhizate, etc.
3.Adjustment of immunotherapy, thymus peptide, etc.
4.Anti-viral therapy, interferon alpha, or nucleoside (acid) analogues.
5.Anti-liver fibrosis treatment, compound turtle nail soft liver tablets, etc. if necessary.
6.Further auxiliary examination ……
Third, liver failure (heavy hepatitis)
1, routine care of liver failure, strengthen monitoring, notification of critical (serious), close observation of the condition.
2, general and supportive therapy, bed rest, nutritional support therapy, supplementation of fresh blood or blood products and branched-chain amino acids.
3.Use drugs to inhibit inflammatory necrosis and promote hepatocyte regeneration, reduced glutathione, HGF, PGE1, etc.
4.Improve liver microcirculation and reduce endotoxemia, salvia, lactulose, etc.
5.Chinese medicine treatment, bitter yellow injection, etc.
6, prevention and treatment of various complications (such as hepatic encephalopathy, hemorrhage, renal insufficiency, secondary infection, electrolyte disorders, ascites, etc.)
7, further auxiliary examination …… artificial liver support system treatment if necessary.
IV. Hepatitis cirrhosis
1.Cirrhosis of the liver routine care
2. Bed rest, light diet (hepatic encephalopathy – restrict or abstain from protein; ascites – less salt diet), 24-hour urine output counting
3.Anti-fibrosis treatment, compound turtle shell soft liver tablets, salvia
4.Hepatocyte protection therapy, reduced glutathione, ursodeoxycholic acid, glycyrrhizin
5.Supportive therapy, branched-chain amino acids, albumin or plasma
6, ascites management, control of sodium and water intake, diuretic use (spironolactone or/and furosemide), own ascites concentrate back (intractable ascites)
7. Bleeding management.
① fasting, close observation of blood pressure and pulse.
② rapid replenishment of effective blood volume (intravenous fluids, fresh blood) and anti-shock treatment.
③ Hemostatic drug use, posterior pituitary hormone, octreotide, H2 receptor blocker, etc.
(iv) triple-lumen tube tamponade, if necessary.
8, secondary infection (spontaneous bacterial peritonitis) management, antimicrobial drug application (ceftazidime, cefotaxime, cefoperazone or quinolones, etc.), and adjustment of antimicrobial drugs according to bacterial culture results.
9. Management of hepatorenal syndrome.
① control of causative factors (e.g. bleeding, infection).
② Strict control of infusion volume.
③apply diuretics on the basis of volume expansion.
④Improve renal microcirculation, increase renal blood flow, prostaglandin E1.
Hepatic encephalopathy management.
① removal of causative factors, such as severe infection, bleeding and electrolyte disturbance.
② restrict protein diet.
③Reducing absorption of toxins of intestinal origin, application of lactulose.
④ use of ammonia-lowering drugs, arginine, ornithine menadione, etc.
⑤ correction of amino acid imbalance, branched-chain amino acids or hexa-amino acids.
(6) Prevention and control of cerebral edema, 20% mannitol.