Ascites: Diagnosis and Management

被引：103

作者：

Hou, Wei ^{[1
]}

Sanyal, Arun J. ^{[1
]}

机构：

[1] Virginia Commonwealth Univ, Dept Internal Med, Sch Med, Div Gastroenterol Hepatol & Nutr, Richmond, VA 23298 USA

来源：

MEDICAL CLINICS OF NORTH AMERICA | 2009年 / 93卷 / 04期

关键词：

Cirrhosis; Ascites; Portal hypertension; Refractory ascites; Transjugular intrahepatic portosystemic shunts; Spironolactone; Furosemide; Spontaneous bacterial peritonitis; SPONTANEOUS BACTERIAL PERITONITIS; LARGE-VOLUME PARACENTESIS; CHRONIC LIVER-DISEASE; CIRRHOTIC-PATIENTS; HEPATORENAL-SYNDROME; INTRAVENOUS ALBUMIN; REFRACTORY ASCITES; DIURETIC RESPONSE; PHYSICAL-EXERCISE; MEDICAL-TREATMENT;

D O I：

10.1016/j.mcna.2009.03.007

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

Ascites is the pathologic: accumulation of fluid in the peritoneal cavity and is a common manifestation of liver failure, being one of the cardinal signs of portal hypertension. The diagnostic evaluation of ascites involves an assessment of its cause by determining the serum-ascites albumin gradient and the exclusion of complications eg, spontaneous bacterial peritonitis. Although sodium restriction and diuretics remain the cornerstone of ascites management, many patients require additional therapy when they become refractory to such medical treatment. These include repeated large volume paracentesis and transjugular intrahepatic portosystemic shunts. This review article summarizes diagnostic tools and provides an evidence-based approach to the management of ascites.

引用

页码：801 / +

页数：18

共 93 条

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UTILITY OF AN ALGORITHM IN DIFFERENTIATING SPONTANEOUS FROM SECONDARY BACTERIAL PERITONITIS [J].