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Hemodynamic changes in patients with liver cirrhosis and tense ascites after large volume paracentesis
Other Title(s)
التغيرات الهيموديناميكية في مرضى التليف الكبدي و الاستسقاء الشاد بعد بذل كمية كبيرة من سائل الاستسقاء
Joint Authors
Farraj, Mahmud Kamil
Abd Allah, Abd al-Karim Hasan
Abd al-Aziz, Abd al-Salam
Ali, Muhammad al-Tahir Abd al-Rahman
Source
Issue
Vol. 25, Issue 3 (31 Jul. 2001), pp.111-116, 6 p.
Publisher
Assiut University Faculty of Medicine
Publication Date
2001-07-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Topics
Abstract EN
Objective: large volume paracentesis is an effective treatment for resistant ascites but the need for routine infusion of albumin or other volume expanders remains controversial.
The aim of this study was to assess the short term effects of a single 5-L paracentesis without albumin replacement on systemic and portal hemodynamic.
Patients and methods: thirty patients with liver cirrhosis and tense, diuretic resistant ascites were studied before and 24 h after a single 5L paracentesis without albumin infusion.
An abdominal duplex Doppler examination and echocardiography study were carried out for all patients.
Heart rate and blood pressure were measured.
Mean arterial pressure was calculated Serum sodium, potassium, blood urea and creatinine were also measured Results: there were no significant changes from baseline values for heart rate (79.73 ± 8.65 Vs 77.82 ± 7.35), mean arterial pressure (93.17 ± 5.59 Vs 93.35 ±4.13 mmHg) and cardiac output (5.30 ± 0.53 Vs 5.62 ± 0.58 Liter/min).
As regard portal hemodynamic, there were no significant changes in portal vein diameter (10.55 ± 2.82 Vs 10.32 ± 2.75 mm), portal flow velocity (9.13 ± 2.15 Vs 9.22 ± 2.33 cm/sec) and portal blood flow (453 ± 233-90 Vs 482 ± 258.37 ml/min) before and 24 h after large volume paracentesis.
Conclusions: single large volume paracentesis without albumin replacement is safe and satisfactory short term option for management of patients with cirrhosis and tense, diuretic-resistant ascites.
American Psychological Association (APA)
Ali, Muhammad al-Tahir Abd al-Rahman& Farraj, Mahmud Kamil& Abd Allah, Abd al-Karim Hasan& Abd al-Aziz, Abd al-Salam. 2001. Hemodynamic changes in patients with liver cirrhosis and tense ascites after large volume paracentesis. Assiut Medical Journal،Vol. 25, no. 3, pp.111-116.
https://search.emarefa.net/detail/BIM-58361
Modern Language Association (MLA)
Ali, Muhammad al-Tahir Abd al-Rahman…[et al.]. Hemodynamic changes in patients with liver cirrhosis and tense ascites after large volume paracentesis. Assiut Medical Journal Vol. 25,no. 3 (Jul., 2001), pp.111-116.
https://search.emarefa.net/detail/BIM-58361
American Medical Association (AMA)
Ali, Muhammad al-Tahir Abd al-Rahman& Farraj, Mahmud Kamil& Abd Allah, Abd al-Karim Hasan& Abd al-Aziz, Abd al-Salam. Hemodynamic changes in patients with liver cirrhosis and tense ascites after large volume paracentesis. Assiut Medical Journal. 2001. Vol. 25, no. 3, pp.111-116.
https://search.emarefa.net/detail/BIM-58361
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 116
Record ID
BIM-58361