NGUYÊN NHÂN, BIẾN CHỨNG BỆNH XƠ GAN CỔ CHƯỚNG VÀ KẾT QUẢ ĐIỀU TRỊ CỔ CHƯỚNG Ở BỆNH NHÂN XƠ GAN

Abstract

Background: Cirrhotic Ascites is the final stage of chronic liver disease which is of many other causes. Objectives: Causes, complications of cirrhotic ascites, and the treatment results of ascites in cirrhotic patients. Materials and Method: A cross–sectional study was conducted on 72 patients with cirrhotic ascites admitted to the Department of Gastroenterology-Clinical Hematology at Can Tho Central General Hospital from 5/2021 to 05/2022. Results: Among 72 patients, 56.9% were male, and the average age was 56.01±13.69 years old. Classified by Child–Pugh is C (83.3%)and B (16.7%). There were 54.3% of patients with ascites of 3 grade and 41.4% of patients with ascites of 2 grade. The causes of cirrhotic ascites: There was 31.9% cause of hepatitis B, 13.9% cause of hepatitis C, 16.7% cause of alcohol, 5.6% cause of alcohol plus hepatitis B, 1.4% cause of alcohol plus hepatitis C, 4.2% cause of hepatitis B plus C and unknown of causes 26.4% in patients with cirrhotic ascites. Complications of serum electrolytes disorders were occupied with the highest rate of 83.3%, followed by hepatic encephalopathy, bacterial peritonitis, acute kidney injury, and umbilical hernia at 31.9%, 22.2%, 13.9%, and 2.8%. There were 87.5% of patients with cirrhotic ascites responded to treatments, 6.95% of patients unresponded to treatments, and none of the cases serious or death. The average hospitalization was 6.61+2.25 days. Conclusions: There are many causes of cirrhosis. Complications of cirrhotic ascites are serum electrolytes disorders, hepatic encephalopathy, bacterial peritonitis, and acute kidney injury. The treatment results of ascites in cirrhotic patients usually have a good response.