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通常不使用腹腔穿刺放液治疗肝硬化腹水,理由是它可能有害于全身血液动力学及肾功能,从而降低存活率。作者用随机对照试验比较了腹腔穿刺放液与利尿剂治疗肝硬化大量腹水的疗效、住院期限、并发症发生率及存活率。
Peritoneal ascites is usually not treated with peritoneal lavage as it may be harmful to systemic hemodynamics and renal function, thereby reducing survival. The authors compared the effects of paracentesis and diuretics on a large number of ascites in patients with cirrhosis, randomized controlled trials, duration of hospitalization, complication rates and survival rates.