浅述顽固性肝腹水的诊治程序

Diagnosis and treatment procedure for intractable liver ascites

腹水是肝硬化的常见并发症,反复发生的肝腹水增加了临床治疗难度。介绍了顽固性肝腹水的定义,目前一般治疗措施,常见并发症如自发性腹膜炎、肝肾综合征的治疗现状,顽固性肝腹水的常规、非常规及手术治疗进展,指出治疗顽固性肝腹水首选腹腔穿刺大量放液,同时积极准备肝移植。

Ascites is a common complication of liver cirrhosis. Liver ascites may occur repeatedly,which increases the therapeutic difficulty. This paper reviews the definition of intractable liver ascites,general treatment measures,and current treatment of common complications such as spontaneous bacterial peritonitis and hepatorenal syndrome,as well as the advances in conventional,unconventional,and surgical treatment of intractable liver ascites. It is pointed out that abdominocentesis for excessive drainage and active preparation for liver transplantation are the preferred approach to the treatment of intractable liver ascites.