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Gamme d'année
2.
Rev. méd. Chile ; 118(8): 874-80, ago. 1990. tab
Article Dans Espagnol | LILACS | ID: lil-96556

Résumé

We randomized 31 cirrhotic patients with tense ascites to a Group A receiving only diuretic therapy (spironolactone, furosemide, n = 14) or a Group B treated with paracentesis and intravenous albumin infusion (n = 17). Ascites was elminated in 88% of patients in Group B compared to 57% of patients in Group A (p < 0.05). Complications developed in 4 patients in Group A and 2 patients in Group B. Paracentesis was associated to a mild and transient reduction in mean arterial pressure and a significant rise in urinary output. Duration of hospital stay was 5 ñ 3 days in Group B and 22 ñ 6 Group A (p < 0.001). Survival and likelihood of rreadmission for ascites was similar in both groups. Our results suggest that paracentesis plus intravenous albumin infusion is a fast, safe and effective therapy for tense ascites in cirrhotic patients


Sujets)
Humains , Ascites/thérapie , Drainage , Albumines , Albumines/usage thérapeutique , Cirrhose du foie/thérapie , Liquide d'ascite/thérapie , Facteurs temps , Perfusions veineuses , Essais contrôlés randomisés comme sujet , Études prospectives , Albumines/administration et posologie , Diurétiques/usage thérapeutique , Association de médicaments , Cirrhose du foie/thérapie
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