腹水
Ascites | |
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类型 | abdominal symptom[*]、effusion[*] |
ICD-11 | ME04 |
ICD-10 | R18 |
ICD-9-CM | 789.5 |
DiseasesDB | 943 |
MedlinePlus | [1] |
eMedicine | ped/2927 med/173 |
MeSH | D001201 |
症状 和 病 征 [编辑]
![](https://upload.wikimedia.org/wikipedia/commons/thumb/a/a3/Hepaticfailure.jpg/220px-Hepaticfailure.jpg)
轻度
对腹
分 级[编辑]
- 1级腹
水 :仅有少量 腹水 ,仅通过超声 检查或 CT扫描检查检测到; - 2级腹
水 :中 量 腹水 ,明 显的腹部 膨隆和 移 动性浊音; - 3级腹
水 :大量 或 严重腹水 ,显著的 腹部 膨隆,有 液 波 震 颤。
诊断[编辑]
![Liver cirrhosis with ascites](https://upload.wikimedia.org/wikipedia/commons/thumb/8/89/CirrhosisWithAscitesMark.png/220px-CirrhosisWithAscitesMark.png)
病因 [编辑]
其他
病理 生理学 [编辑]
门脉
无论
治 疗[编辑]
![Diagram showing ascites being drained](https://upload.wikimedia.org/wikipedia/commons/thumb/9/98/Diagram_showing_fluid_%28ascites%29_being_drained_from_the_abdomen_CRUK_122.svg/220px-Diagram_showing_fluid_%28ascites%29_being_drained_from_the_abdomen_CRUK_122.svg.png)
对于
高 梯 度 SAAG[编辑]
限 制 钠盐的 摄入[编辑]
利尿 剂[编辑]
如果
限 制 水 的 摄入[编辑]
如果
腹腔 穿刺 [编辑]
对严
肝 移植 [编辑]
对于药物难治
分流 [编辑]
对于
低 梯 度 SAAG[编辑]
并发症 [编辑]
自 发性细菌性 腹膜炎 [编辑]
血栓 形成 [编辑]
参考 资料[编辑]
- ^ Moore, Kevin P.; Wong, Florence; Gines, Pere; Bernardi, Mauro; Ochs, Andreas; Salerno, Francesco; Angeli, Paolo; Porayko, Michael; Moreau, Richard. The management of ascites in cirrhosis: report on the consensus conference of the International Ascites Club. Hepatology (Baltimore, Md.). 2003-07, 38 (1): 258–266 [2020-10-08]. ISSN 0270-9139. PMID 12830009. doi:10.1053/jhep.2003.50315. (
原始 内容 存 档于2019-08-24). - ^ 2.0 2.1 2.2 Warrell, D. A. Oxford textbook of medicine 4th ed. Oxford: Oxford University Press. 2003. ISBN 978-0-19-262922-7. OCLC 51981961.
- ^ Runyon, B. A.; Montano, A. A.; Akriviadis, E. A.; Antillon, M. R.; Irving, M. A.; McHutchison, J. G. The serum-ascites albumin gradient is superior to the exudate-transudate concept in the differential diagnosis of ascites. Annals of Internal Medicine. 1992-08-01, 117 (3): 215–220 [2020-10-08]. ISSN 0003-4819. PMID 1616215. doi:10.7326/0003-4819-117-3-215. (
原始 内容 存 档于2016-07-22). - ^ Branco-Ferreira, M.; Pedro, E.; Barbosa, M. A.; Carlos, A. G. Ascites in hereditary angioedema. Allergy. 1998-05, 53 (5): 543–545 [2020-10-08]. ISSN 0105-4538. PMID 9636820. doi:10.1111/j.1398-9995.1998.tb04098.x. (
原始 内容 存 档于2019-08-19). - ^ Castell, Donald O. Ascites in cirrhosis. The American Journal of Digestive Diseases. 1967-09, 12 (9): 916–922. ISSN 0002-9211. doi:10.1007/bf02236449.
- ^ 6.0 6.1 Shear, L.; Ching, S.; Gabuzda, G. J. Compartmentalization of ascites and edema in patients with hepatic cirrhosis. The New England Journal of Medicine. 1970-06-18, 282 (25): 1391–1396 [2020-10-08]. ISSN 0028-4793. PMID 4910836. doi:10.1056/NEJM197006182822502. (
原始 内容 存 档于2019-08-27). - ^ 7.0 7.1 Ginés, P.; Arroyo, V.; Quintero, E.; Planas, R.; Bory, F.; Cabrera, J.; Rimola, A.; Viver, J.; Camps, J. Comparison of paracentesis and diuretics in the treatment of cirrhotics with tense ascites. Results of a randomized study. Gastroenterology. 1987-08, 93 (2): 234–241 [2020-10-08]. ISSN 0016-5085. PMID 3297907. doi:10.1016/0016-5085(87)91007-9. (
原始 内容 存 档于2019-09-13). - ^ 8.0 8.1 Salerno, F.; Badalamenti, S.; Incerti, P.; Tempini, S.; Restelli, B.; Bruno, S.; Bellati, G.; Roffi, L. Repeated paracentesis and i.v. albumin infusion to treat 'tense' ascites in cirrhotic patients. A safe alternative therapy. Journal of Hepatology. 1987-08, 5 (1): 102–108 [2020-10-08]. ISSN 0168-8278. PMID 3655306. doi:10.1016/s0168-8278(87)80067-3. (
原始 内容 存 档于2019-08-24). - ^ 9.0 9.1 Gatta, A.; Angeli, P.; Caregaro, L.; Menon, F.; Sacerdoti, D.; Merkel, C. A pathophysiological interpretation of unresponsiveness to spironolactone in a stepped-care approach to the diuretic treatment of ascites in nonazotemic cirrhotic patients. Hepatology (Baltimore, Md.). 1991-08, 14 (2): 231–236 [2020-10-08]. ISSN 0270-9139. PMID 1860680. (
原始 内容 存 档于2019-08-26). - ^ Fogel, M. R.; Sawhney, V. K.; Neal, E. A.; Miller, R. G.; Knauer, C. M.; Gregory, P. B. Diuresis in the ascitic patient: a randomized controlled trial of three regimens. Journal of Clinical Gastroenterology. 1981,. 3 Suppl 1: 73–80 [2020-10-08]. ISSN 0192-0790. PMID 7035545. doi:10.1097/00004836-198100031-00016. (
原始 内容 存 档于2019-08-23). - ^ 11.0 11.1 11.2 Runyon, B. A. Care of patients with ascites. The New England Journal of Medicine. 1994-02-03, 330 (5): 337–342 [2020-10-08]. ISSN 0028-4793. PMID 8277955. doi:10.1056/NEJM199402033300508. (
原始 内容 存 档于2019-08-27). - ^ 12.0 12.1 Ginès, Pere; Cárdenas, Andrés; Arroyo, Vicente; Rodés, Juan. Management of cirrhosis and ascites. The New England Journal of Medicine. 2004-04-15, 350 (16): 1646–1654 [2020-10-08]. ISSN 1533-4406. PMID 15084697. doi:10.1056/NEJMra035021. (
原始 内容 存 档于2019-08-27). - ^ Runyon BA, Heck M. Utility of 24-hour urine sodium collection and urine Na/K ratios in the management of patients with cirrhosis and ascites. Hepatology. 1996, 24: 571A.
- ^ Hunt, Sharon Ann; Abraham, William T.; Chin, Marshall H.; Feldman, Arthur M.; Francis, Gary S.; Ganiats, Theodore G.; Jessup, Mariell; Konstam, Marvin A.; Mancini, Donna M. ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart Failure): developed in collaboration with the American College of Chest Physicians and the International Society for Heart and Lung Transplantation: endorsed by the Heart Rhythm Society. Circulation. 2005-09-20, 112 (12): e154–235 [2020-10-08]. ISSN 1524-4539. PMID 16160202. doi:10.1161/CIRCULATIONAHA.105.167586. (
原始 内容 存 档于2020-05-08). - ^ Heart Failure Society Of America, null. HFSA 2006 Comprehensive Heart Failure Practice Guideline. Journal of Cardiac Failure. 2006-02, 12 (1): e1–2 [2020-10-08]. ISSN 1532-8414. PMID 16500560. doi:10.1016/j.cardfail.2005.11.005. (
原始 内容 存 档于2019-08-22). - ^ Cosby, R. L.; Yee, B.; Schrier, R. W. New classification with prognostic value in cirrhotic patients. Mineral and Electrolyte Metabolism. 1989, 15 (5): 261–266 [2020-10-08]. ISSN 0378-0392. PMID 2682175. (
原始 内容 存 档于2019-09-13). - ^ Saab, S.; Nieto, J. M.; Lewis, S. K.; Runyon, B. A. TIPS versus paracentesis for cirrhotic patients with refractory ascites. The Cochrane Database of Systematic Reviews. 2006-10-18, (4): CD004889 [2020-10-08]. ISSN 1469-493X. PMID 17054221. doi:10.1002/14651858.CD004889.pub2. (
原始 内容 存 档于2019-08-19).
外部 連結 [编辑]
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