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肝硬化患者顽固性腹腔积液的评估及治疗

王连江

中国全科医学2011,Vol.14Issue(9):942-944,3.
中国全科医学2011,Vol.14Issue(9):942-944,3.

肝硬化患者顽固性腹腔积液的评估及治疗

Evaluation and Management of Refractory Ascites in Liver Cirrhosis Patients

王连江1

作者信息

  • 1. 300192,天津市第一中心医院移植外科
  • 折叠

摘要

Abstract

Some patients with ascites due to liver cirrhosis become no longer responsive to diuretics. Once other causes for ascites such as portal vein thrombosis, malignancy or infection and non-compliance with medications or low sodium diet have been excluded, the diagnosis of refractory ascites can be made based on strict criteria. Patients with refractory ascites have very poor prognoses and therefore cured only by liver transplantation. Targeted therapy should be found before liver transplantation. Currently, serial large volume paracentesis ( LVP ) and transjugular intrahepatic portosystemic stent - shunt ( TIPS ) are mainstay treatments for refractory ascites. Other options are available but not widely used. This paper describes the evaluation and management of patients with refractory ascites.

关键词

肝硬化/腹腔积液/治疗

分类

医药卫生

引用本文复制引用

王连江..肝硬化患者顽固性腹腔积液的评估及治疗[J].中国全科医学,2011,14(9):942-944,3.

中国全科医学

OA北大核心CSTPCD

1007-9572

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