Brodanová M
I. interní klinika 1. LF UK, Praha.
Vnitr Lek. 1994 Nov;40(11):735-8.
The author evaluates the prognostic importance of ascites in 100 patients with cirrhosis of the liver. The patients were followed up on a log-term basis in a hepatology clinic and the diagnosis was confirmed morphologically. Ascites developed at a time when marked objective and laboratory signs of chronic liver disease were present. Ascites was diagnosed by physical examination and verified by ultrasonography. It was treated by contemporary procedures. Survival of cirrhotic patients with ascites was unfavorable--50% survived one year, 38% two years, 17% three years, 15% four years and only 9% five years. Ascites is thus still a very adverse prognostic indicator for patients with cirrhosis.
作者评估了100例肝硬化患者腹水的预后重要性。这些患者在肝病诊所进行了长期随访,诊断经形态学证实。腹水在出现明显的慢性肝病客观体征和实验室检查结果时出现。腹水通过体格检查诊断,并经超声检查证实。采用当代方法进行治疗。肝硬化腹水患者的生存率不佳——50%存活1年,38%存活2年,17%存活3年,15%存活4年,仅9%存活5年。因此,腹水仍然是肝硬化患者非常不利的预后指标。