Management of Cirrhotic Ascites
10.3969/j.issn.1008-7125.2018.04.002
- VernacularTitle:肝硬化腹水的处理
- Author:
Jian SHI
1
;
Weifen XIE
Author Information
1. 第二军医大学附属长征医院消化内科 200003
- Keywords:
Ascites;
Liver Cirrhosis;
Spontaneous Bacterial Peritonitis;
Therapy
- From:
Chinese Journal of Gastroenterology
2018;23(4):197-203
- CountryChina
- Language:Chinese
-
Abstract:
Ascites formation represents a hallmark of decompensation of liver cirrhosis and predicts a poor prognosis. Patients with cirrhotic ascites are at high risk of some complications,such as hyponatremia,hepatorenal syndrome and spontaneous bacterial peritonitis(SBP). Currently,there are consensuses on treatment with sodium intake restriction, diuresis,paracentesis,albumin supplement,anti-infection and etc. In recent years,some advancements have been achieved,such as aquaretics,vasoactive drugs,prevention of SBP with rifaximin,alfapump?,stem cell transplantation and etc.,and yet there are still many issues deserved to be researched. This article focused on the management of cirrhotic ascites and related controversies with reference to current international and local guidelines and latest evidences.
