A WOMEN 51 YEARS WITH DECOMPENSATED LIVER CIRRHOSIS WITH GASTRITIS CHRONIC AND KIDNEY CHRONIC DISEASE STAGE III

Dyah Gaby Kesuma

Abstract


Chronic liver disease and cirrhosis is a liver disease with high morbidity and mortality. Cirrhosis worldwide ranks seventh leading cause of death. Treatment for patients with liver cirrhosis in Indonesia mostly still suportif.Case. Mrs. P, women aged 51 years came with complaints of stomach getting bigger, tense and hard since 2 weeks before hospital admission. Increasing the perceived tightness, nausea, vomiting and urinating like tea. The patient had a history of ulcer. When he arrived at the hospital, the patient's condition compos mentis: Blood pressure 120/80 mm Hg, pulse 80x / min, respiration 28x / min, temperature 37,3ºC, weight 55 kg, 150 cm TB, anemic conjunctiva, sclera jaundice , ascites and pitting edema. Obtained blood tests: SGOT 40 U / L, urea 84 mg / dl, creatinine 1.55 mg / dl, GFR value 37 ml / min (CKD Stage III). On abdominal ultrasound showed liver shrink, solidified with more echogenic edge, followed by massive ascites with liver cirrhosis according intestine floating. Patients diagnosed with cirrhosis of the liver with chronic gastritis and chronic renal failure stage III treated with a diet low in salt I, III liver diet, fluid intake restriction, furosemide, spironolactone, omeprazole, propranolol, sucralfate syrup and plans paracentesis. Conclusions. Stages of liver cirrhosis treatment in Indonesia is mainly supportive. Cirrhosis therapy aimed at reducing disease progression, avoid ingredients that could increase the liver damage, prevention and treatment of complications.


Keywords: Acites, hepatic cirrhosis, liver

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