Brodanová M, Klener P
I. interní klinika 1. LF UK, Praha.
Vnitr Lek. 1994 Nov;40(11):739-44.
Ascites is a common sign of decompensated cirrhosis of the liver. In order to improve the patient's quality of life, it is essential to treat him systematically. The authors present an algorithm of therapeutic procedures. The basis is major rest, restricted water and sodium intake. First choice diuretics are aldosterone blockers. The basic diuretic is furosemide. The authors mention also the most important complications of treatment with diuretics. They evaluate contemporary views on paracentesis and therapy by return of ascites into the circulation. Ascites refractory to treatment is an indication for transplantation of the liver.
腹水是肝硬化失代偿期的常见体征。为改善患者生活质量,对其进行系统治疗至关重要。作者提出了一种治疗程序算法。基础是充分休息、限制水钠摄入。首选利尿剂是醛固酮阻滞剂。基本利尿剂是呋塞米。作者还提到了利尿剂治疗的最重要并发症。他们评估了关于腹腔穿刺放液及将腹水回输到循环系统进行治疗的当代观点。难治性腹水是肝移植的指征。