Vnitr Lek 1994, 40(11):739-744

[Modern therapy of ascites in liver cirrhosis].

M Brodanová, P Klener: I. interní klinika 1. LF UK, Praha.

Ascites is a common sign of decompensated cirrhosis of the liver. In order to improve the patient's quality of life, it is essential to treat him systematically. The authors present an algorithm of therapeutic procedures. The basis is major rest, restricted water and sodium intake. First choice diuretics are aldosterone blockers. The basic diuretic is furosemide. The authors mention also the most important complications of treatment with diuretics. They evaluate contemporary views on paracentesis and therapy by return of ascites into the circulation. Ascites refractory to treatment is an indication for transplantation of the liver.