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Renaissance of paracentesis in the treatment of ascites
1University of Southern California School of Medicine, Los Angeles.
Advances in Internal Medicine
|January 1, 1990
Abstract:
The dangers of large-volume paracentesis have been overemphasized in the past. Recent data fail to show hypovolemia or any other complications ascribable to 5-L paracentesis when it is accompanied by IV infusion of 40 gm of albumin. Other data question the need for albumin infusion. Large-volume paracentesis is now a therapeutic option for relief of symptomatic, tense ascites, and, in company with sodium restriction, for chronic management of ascites refractory to diuretics.
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