الاستسقاء: ماذا تفعل عندما لم يحقق العلاج الفموي بمدرات البول أي نتيجة

References

DOI: 10.1136/gut.2006.099580

• Therapeutic paracentesis is the firstline treatment for patients with large or refractory ascites.
• Paracentesis of <5 litre of uncomplicated ascites should be followed by plasma expansion with a synthetic plasma expander (150–200 ml of gelofusine or haemaccel), and does not require volume expansion with albumin.
• Large volume paracentesis should be performed in a single session with volume expansion being given once paracentesis is complete, preferably using 8 g albumin/litre of ascites removed (that is, <100 ml of 20% albumin/3 l ascites).