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[肝硬化腹水的现代治疗]

[Modern therapy of ascites in liver cirrhosis].

作者信息

Brodanová M

机构信息

I. interní klinika, 1. LF UK, Praha.

出版信息

Vnitr Lek. 1995 Mar;41(3):189-92.

PMID:7762178
Abstract

The most frequent cause of ascites in the Czech Republic is cirrhosis of the liver. Treatment of ascites in cirrhotic patients must be very careful as the use of strong diuretics is associated with some adverse complications. The latter are reviewed. The basic therapeutic provision is restriction of water and salt intake. Aldosterone antagonists are diuretics of first choice. A commonly used diuretic is also furosemide and thiazides. The author outlines the algorithm of treatment of ascites, in particular from the aspect of the general practitioner.

摘要

在捷克共和国,腹水最常见的病因是肝硬化。肝硬化患者腹水的治疗必须非常谨慎,因为使用强效利尿剂会引发一些不良并发症。本文对这些并发症进行了综述。基本的治疗措施是限制水和盐的摄入。醛固酮拮抗剂是首选利尿剂。常用的利尿剂还有速尿和噻嗪类药物。作者概述了腹水的治疗方案,特别是从全科医生的角度。

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