Extracorporeal Ultrafiltrationof Ascites (EUA) - a New Method in the Treatment of Refractory Ascites
Extrakorporální ultrafiltraceascitu (EUA) - nová metodav léčbě refrakterního ascitu
Refrakterní ascites se vyskytuje nejčastěji u jaterní cirhózy, nefrotického syndromu aj. Jednouz možností léčby je extrakorporální ultrafiltrace ascitu (EUA), technikou dostupnou na hemo-dialyzačních střediscích. Při této metodě se ascitická tekutina zahušťuje filtrací a „koncentrát“se vrací zpět do dutiny břišní pacienta. Použili jsme jednojehlové techniky podle japonskýchautorů. Celkem jsme provedli výkon 4krát a získali celkem 12,3 l filtrátu, ve kterém nebylapřítomná žádná bílkovina, protože ta se vrátila zpět pacientovi. Shrnujeme, že metoda můžebýt přínosem v léčbě refrakterního ascitu pro svou jednoduchost, dobrou toleranci a efektivnost.
Klíčová slova:
extrakoproporální ultrafiltrace ascitu - hemodialýza - refrakterní ascites.
Authors:
J. Lachmanová; E. Jančová; P. Urbánek
Authors‘ workplace:
I. interní klinika 1. LF UK a VFN, Praha
Published in:
Prakt. Lék. 2000; (5): 269-271
Category:
Overview
Refractory ascites is encountered most frequently in cirrhosis of the liver, nephrotic syndromeetc. One of the possible ways of treatment is extracorporeal ultrafiltration of ascites (EUA), bya technique available at haemodialyzation centres. In this method the ascitic fluid is concen-trated by filtration and the „concentrate“ is returned into the patient’s abdominal cavity. Theauthors used the single-needle technique described by Japanese authors. They repeated theprocedure four times and obtained a total of 12.3 l filtrate which did not contain any proteinbecause that was returned to the patient. The authors sum up that this method may be valuablein refractory ascites because it is simple, the tolerance and effectiveness is satisfactory.
Key words:
extracorporeal ultrafiltration of ascites - haemodialysis - refractory ascites.
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General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
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