Stanley A J, Bouchier I A, Hayes P C
Department of Medicine, Royal Infirmary of Edinburgh.
Br J Hosp Med. 1997;58(2-3):74-8.
The pathophysiology of the haemodynamic and renal abnormalities in cirrhosis remains ill-defined. The development of ascites has poor prognostic significance and management should follow a stepwise approach from salt restriction to diuretic therapy then large-volume paracentesis before more invasive techniques.
肝硬化血流动力学和肾脏异常的病理生理学仍不明确。腹水的出现具有不良预后意义,治疗应采取循序渐进的方法,从限制盐摄入到利尿治疗,然后是大量腹腔穿刺放液,最后才采用更具侵入性的技术。