Controversial problems in management of cirrhotic ascites
10.3969/j.issn.1001-5256.2014.07.006
- VernacularTitle:肝硬化腹水诊治争议问题
- Author:
Weifen XIE
;
Xin ZENG
- Publication Type:Journal Article
- Keywords:
ascites;
liver cirrhosis;
review
- From:
Journal of Clinical Hepatology
2014;30(7):601-603
- CountryChina
- Language:Chinese
-
Abstract:
Ascites is an important indicator of poor prognosis of liver cirrhosis.Although several guidelines and consensus statements on the management of ascites have been published in the past years,there are still a lot of controversial problems in this regard.The current contro-versial problems and difficulties in the management of ascites,such as the timing of sodium supplementation or sodium restriction,the selec-tion of diuretics,the application value of aquaretics,the strategy of albumin administration after large-volume paracentesis,and the indica-tions and efficacy of transjugular intrahepatic portosystemic shunt,are reviewed.It is pointed out that further studies on these problems with evidence-based medicine means will enhance the diagnosis and treatment of cirrhotic ascites and improve patients'prognosis.
