Chapter 776 【776】What Is Ascites

This kind of patient happens every day, but just today the doctor met a stubborn and persistent child. Gong Xiangbin scratched his head with his hands and didn't know how to talk to the child. He took out his mobile phone and said, "I'll call your grandma and grandpa."

"You don't need to call them. I'll donate to my mother." Yang Yang said as tears started to fall.

Gong Xiangbin hurriedly took out a tissue and wiped away the children's tears: "Why are you crying?"

"I don't want my mother to die." Yang Yang stood in the doctor's office with his head raised and wept loudly.

The child was crying so hard that no one could resist it. It directly made the doctors in the doctor's office cry until they were turned on their backs.

"Is there any sugar?"

"Get some biscuits."

The doctors and nurses were looking for candies one by one to see how to coax the child to sleep sooner.

Zhao Zhaowei wanted to cry when he saw the child crying, so he went back to his ward to see if he could find some toys.

Xie Wanying was thinking about what was going on, why she suddenly asked Yangyang's mother to be discharged from the hospital.

In the morning rounds these few days, Brother Tao did not show such an attitude. However, due to busyness, the doctor's rounds in the morning have always been in a hurry, a bit fleeting. Except for patients who are about to undergo surgery, key preoperative discussions will be made in the group. So it can only be because this is a surgery, and those like Yang Yang’s mother who can’t wait for liver transplantation and surgery can either be transferred to internal medicine for treatment, or they can only be discharged from the hospital, and cannot continue to occupy beds like this. Maybe wait until the day when the patient can be operated on and then come in to the hospital.

Go to the ward to see the patient's condition. Xie Wanying thought twice and went to Yangyang's mother's ward.

Usually she would not take the initiative to care about the patients who are not in her care, mainly because she is afraid of conflict with the doctor in charge of the bed.

In the ward, Yang Yang's mother was half lying on the bed, her spirits improved a lot, and the doctor told her to leave the hospital only after her condition had improved.

Xie Wanying approached the patient and said, "Can I listen to your heart and lungs?"

Yangyang's mother knew her, so she nodded.

After the ascites was pumped, the patient's belly did not bulge like a ball, but the root cause of the disease has not been cured, and there will definitely be ascites again. Xie Wanying only looked at the patient's protruding belly button, and knew that the ascites had not disappeared at all.

When it comes to ascites, it should be called peritoneal effusion if it is accurate. Because there is about 200 ml of normal ascites in humans, which lubricates intestinal peristalsis. If it exceeds 200, it is an abnormal case state, and it is effusion. It's just common people and doctors commonly call it ascites.

There are many causes of ascites. The most common is hepatic ascites, that is, ascites caused by liver problems.

Other causes include cardiogenic, nephrogenic, peritonitis, and other systemic diseases.

Regarding the principle of cirrhotic ascites in Yangyang mother, there are usually two kinds of theories in the medical field. One is called the classic theory, which says that ascites is caused by portal hypertension, low albumin, and lymphatic reflux. The other is called the overflow theory, which means that the formation of ascites due to the retention of water and sodium has nothing to do with the other reasons listed above. The reason for the establishment of the latter theory is that a large number of patients do not have the characteristics of portal hypertension and low albumin clinically.

The two theories seem to contradict each other. Later, doctors believed that most patients had the classic theory in the early stage, and the overflow theory in the later stage.

It stands to reason that Yangyang mother belongs to the stage of overflow theory, and water and sodium retention are related to the imbalance of renin-angiotensin system and norepinephrine-adrenal system.