کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3464902 1232441 2011 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Therapie des zirrhotischen Aszites
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
Therapie des zirrhotischen Aszites
چکیده انگلیسی
The development of ascites in the course of liver cirrhosis is very important for its prognosis and associated with a mortality of more than 50% 2 to 5 years after the first episode of ascites occurred. The increase of creatinine concentration in the serum to > 1.5 mg/dl is accompanied by a mortality of up to 80% within 6 to 12 months. Depending on whether the ascites can be washed out by salt restriction and treatment with diuretics alone or not, a distinction is made between uncomplicated and complicated ascites. Ascites treatment is a step-by-step therapy and starts with bedrest, salt and fluid restriction. In addition, aldosterone antagonists and loop diuretics may be applied. In therapy-refractory ascites paracentesis or transjugular intrahepatic portosystemic shunt (TIPS) may be administered. Therapy-refractory ascites occurs in 5-10% of patients. Its prognosis is very severe with a 1-year survival rate of < 50%.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: DoctorConsult - The Journal. Wissen für Klinik und Praxis - Volume 2, Issue 1, April 2011, Pages 69-73
نویسندگان
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