Narodna in univerzitetna knjižnica, Ljubljana (NUK)
Naročanje gradiva za izposojo na dom
Naročanje gradiva za izposojo v čitalnice
Naročanje kopij člankov
Urnik dostave gradiva z oznako DS v signaturi
  • Ascites - priporočila za zdravljenje = Ascites - guidelines for treatment
    Hafner, Matjaž, 1956-
    The natural course of liver cirrhosis is frequently complicated by ascites - excessive accumulation of fluid in the peritoneal cavity. According to the arterial vasodilation theory, portal ... hypertension is the initial event with resulting splanchnic arteriolar vasodilation causing underfilling of the arterial circulation. Arterial receptors detect a lower effective arterial blood volume and stimulate the renin-angiotensin-aldosterone system, causing nonosmotic hypersecretion of the antidiuretic hormone. The ultimate consequence of this response is renal sodium and water retention. A reduction in salt intake favors a negative sodium balance and facilitates the disappearance of ascites. The main indications for the use of diuretics in liver cirrhosis are the treatment of patients with mild to moderate ascites and the prevention of ascites recurrence after therapeutic paracentesis. Totalparacentesis has replaced diuretics as the treatment of choice for cirrhotic patients with large ascites. Therapeutic options for ascites that cannot be controlled despite dietary sodium restriction and maximal diuretic therapy include repeated total paracentesis and transjugular intrahepatic portosystemic shunt placement. Recently, liver transplantation has become the only long-term effective therapy for patients with advanced liver cirrhosis and ascites.
    Vir: Medicinski razgledi. Supplement. - ISSN 0353-3484 (Letn. 41, supl. 3, nov. 2002, str. 13-17)
    Vrsta gradiva - članek, sestavni del
    Leto - 2002
    Jezik - slovenski
    COBISS.SI-ID - 16548569

vir: Medicinski razgledi. Supplement. - ISSN 0353-3484 (Letn. 41, supl. 3, nov. 2002, str. 13-17)

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