Paracentesis con infusión de albumina en el tratamiento de la ascitis a tensión en pacientes cirróticos / Paracentesis combined with albumin infusion in the treatment of tense ascites in cirrhotic patients
Rev. méd. Chile
;
118(8): 874-80, ago. 1990. tab
Artigo
em Espanhol
| LILACS
| ID: lil-96556
ABSTRACT
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
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Índice:
LILACS (Américas)
Assunto principal:
Ascite
/
Líquido Ascítico
/
Drenagem
/
Albuminas
/
Cirrose Hepática
Tipo de estudo:
Ensaio Clínico Controlado
/
Estudo observacional
/
Fatores de risco
Limite:
Humanos
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
1990
Tipo de documento:
Artigo
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