Drainage of ascites in cirrhosis  

作　　者：Jia-Xing Yang Yue-Ming Peng Hao-Tian Zeng Xi-Min Lin Zheng-Lei Xu 

机构地区：[1]Department of Gastroenterology,The Second Clinical Medical College,Jinan University,Shenzhen 518000,Guangdong Province,China [2]Department of Nursing,Shenzhen People’s Hospital,The Second Clinical Medical College,Jinan University,Shenzhen 518000,Guangdong Province,China [3]Department of Gastroenterology,Shenzhen People’s Hospital,The Second Clinical Medical College,Jinan University,Shenzhen 518000,Guangdong Province,China

出　　处：《World Journal of Hepatology》2024年第9期1245-1257,共13页世界肝病学杂志（英文）

基　　金：Supported by Sanming Project of Medicine in Shenzhen,No.SZSM202211029.

摘　　要：For cirrhotic refractory ascites,diuretics combined with albumin and vasoactive drugs are the first-line choice for ascites management.However,their therapeutic effects are limited,and most refractory ascites do not respond to medication treat-ment,necessitating consideration of drainage or surgical interventions.Con-sequently,numerous drainage methods for cirrhotic ascites have emerged,including large-volume paracentesis,transjugular intrahepatic portosystemic shunt,peritoneovenous shunt,automated low-flow ascites pump,cell-free and concentrated ascites reinfusion therapy,and peritoneal catheter drainage.This review introduces the advantages and disadvantages of these methods in different aspects,as well as indications and contraindications for this disease.

关 键 词：Liver cirrhosis ascites Large-volume paracentesis Transjugular intrahepatic portosystemic shunt Peritoneovenous shunt Automated low-flow ascites pump Cell-free and concentrated ascites reinfusion therapy Peritoneal catheter drainage 

分 类 号：R575[医药卫生—消化系统]