SPONTANEOUS DIALYTIC ULTRAFILTRATION WITH INTRAPERITONEAL REINFUSION OF THE CONCENTRATE VERSUS LARGE PARACENTESIS IN CIRRHOTIC-PATIENTS WITH INTRACTABLE ASCITES - A RANDOMIZED STUDY

被引:15
作者
CADRANEL, JF
GARGOT, D
GRIPPON, P
LUNEL, F
BERNARD, B
VALLA, D
OPOLON, P
机构
[1] Service d'Hepato-Gastro-Enterologie, Hopital de la Salpetriere, 75651 Paris Cedex 13
关键词
CIRRHOSIS; INTRACTABLE ASCITES; DIALYTIC ULTRAFILTRATION;
D O I
10.1177/039139889201500711
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Dialytic ultrafiltration of ascites through a hemofilter associated with peritoneal reinfusion (DUF) of the concentrate has been proposed for the treatment of refractory ascites. In five cirrhotic patients, 18 ascites evacuation procedures were randomized either to DUF (n=8) or to large paranceteses (LP) (n=10). The effects of these two methods on hemodynamic and renal function were assessed. After DUF, the protein concentration in ascites increased transiently from 28+/-7 g/l to 64.8+/-8 g/l (p<0.04); urinary output increased from day 1 to day 4 (1000+/-100) VS 1430+/-140 ml/24h; p<0.02). After LP, ascitic protein concentration and urinary output were unchanged. No side effects were observed with the two methods, The mean amount of albumin infused was 20+/-15 g after DUF and 15+/-5 after LP (ns).
引用
收藏
页码:432 / 435
页数:4
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