[A multilevel method of treatment of ascites with liver cirrhosis].

The multilevel method of treatment of ascites includes conservative therapy, interventional radiology, new modifications of surgical interventions on the thoracic lymphatic duct for its external drainage. Conservative therapy proved to be effective in 198 (79.2%) out of 250 patients with ascites. Most of them had demonstrable edematous ascitic syndrome. Guided hypertension with "Angiotensinamid" was used in 6 (2.4%) patients because of low effectiveness of conservative therapy. Regional therapy of liver cirrhosis (second level) was used in 18 patients (7.2%). External drainage of the thoracic lymphatic duct with the dosed lymph abduction and courses of lymphosorption were fulfilled in 37 (14.6%) patients. As a result of the treatment one patient (4.2%) only had ascites remaining at the "demonstratable-tense" level, although at admission to the clinic there were 36 such patients that made up 95%. It can be concluded that the multilevel methods of treatment of ascites give additional ways for the effective control of the edematous ascitic syndrome.