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肝硬化腹水的规范化治疗

刘晓燕

医学信息Issue(23):61-62,2.
医学信息Issue(23):61-62,2.

肝硬化腹水的规范化治疗

Formulated Therapeutic Strategy for Cirrhotic Ascites

刘晓燕1

作者信息

  • 1. 安徽医科大学附属六安医院消化内科,安徽 六安 237005
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摘要

Abstract

Ascites is the most common complication of liver cirrhosis and indicates poor prognosis. Standardized the treatment of ascites due to cirrhosis is important for improving the prognosis of Patients with liver cirrhosis. Cirrhosis patients with mild to moderate ascites should be bed rest, adequate sodium restriction, diuretics such as spironolactone to give, and diuretics should be added in a stepwise fashion while maintaining sodium restriction. An initial therapeutic abdominal paracentesis should be performed in patients with tense ascites. Sodium restriction and oral diuretics should then be initiated. Options for refractory ascites include serial therapeutic paracenteses, transjugular intrahepatic portasystemic stent-shunt (TIPS), peritoneovenous shunt and liver transplantation. Treatment of ascites due to cirrhosis is a long-term process, advocated the adoption of a comprehensive treatment of patients with ascites,set ing up appropriate individual and standard therapeutic regimen in accordance with the ascites classification, patients with response to treatment and medical resource al ocation.

关键词

肝硬化/腹水/规范化/治疗

Key words

Liver cirrhosis/Ascites/Normalization/Therapy

引用本文复制引用

刘晓燕..肝硬化腹水的规范化治疗[J].医学信息,2013,(23):61-62,2.

医学信息

1006-1959

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