The principles of treatment for pleural and ascitic fluid and pleural fluid only are the same and are mainly divided into symptomatic and causal treatment. Firstly, the cause of the pleural ascites is identified through physical examination, medical history and ultrasound and other examinations. Secondly, it is necessary to identify whether the pleural fluid ascites is exudate or leaky fluid. If the cause is difficult to determine, thoracentesis and laparotomy are feasible, and fluid is aspirated. Through the physical and chemical examination of pleural fluid and ascites, the cause of pleural fluid and ascites can be identified, and most of them can be clearly diagnosed. After the diagnosis is clear, treatment of the cause can be carried out, such as cardiac insufficiency caused by pleural fluid, cardiac diuretic treatment for ascites, protein supplementation treatment for hypoproteinemia caused by pleural fluid and ascites, etc. If the pleural fluid or ascites is high, it may have serious impact on the patient’s respiratory function and cardiac function, and then it is necessary to perform thoracic and abdominal aspiration. Most of the pleural and abdominal effusions can be controlled quickly if the treatment measures are appropriate. If the cause of the patient is not removed in time, the treatment is less effective.
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