What are the treatment methods for hepatic cirrhosis with ascites?

The main treatment approaches for cirrhotic ascites include the following aspects: 1. **Medication therapy**: Diuretics such as furosemide and spironolactone are used to rapidly excrete sodium and maintain normal potassium levels in the blood. For patients with hypoalbuminemia, intravenous albumin infusion may be administered to increase plasma colloid osmotic pressure and promote resolution of ascites. 2. **Paracentesis**: When large-volume ascites causes significant abdominal distension or impairs respiration, paracentesis may be performed. However, the volume of fluid removed per session should generally be limited to 1000–3000 mL to avoid precipitating hepatic encephalopathy. 3. **Surgical intervention**: For refractory ascites, transjugular intrahepatic portosystemic shunt (TIPS) may be selected to reduce portal pressure and improve ascites-related symptoms. 4. **Lifestyle management**: Patients should restrict sodium and fluid intake and monitor body weight changes to detect ascites accumulation promptly. Maintaining healthy lifestyle habits and a positive mental attitude also contributes to disease recovery.