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Atención de la ascitis y sus complicaciones en el paciente con cirrosis hepática Ascites care and its complications in patient with hepatic cirrhosis

Keywords: Ascitis , complicación , cirrosis hepática , peritonitis bacteriana , Ascites , complications , hepatic cirrhosis , bacterial peritonitis

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Abstract:

En la historia natural de la cirrosis hepática, aproximadamente 50 % de los pacientes presentan su primera descompensación en forma de ascitis, esta a su vez, si no es tratada adecuadamente, puede originar complicaciones mucho más severas como la peritonitis bacteriana espontánea y otras, quizás irreversibles, como el síndrome hepatorrenal. Alrededor de 60 % de los pacientes con cirrosis compensada desarrollan ascitis en los primeros 10 a os después del diagnóstico. Se revisó este tema con el objetivo de disminuir el número de complicaciones y fallecidos por esta causa. In the natural history of hepatic cirrhosis, approximately the 50 % of patients has its first decompensation as a ascites way, which at its turn, if it not appropriately treated may leads to other complications more severe such that spontaneous bacterial peritonitis and other, perhaps irreversible including the hepatorenal syndrome. About the 60 % of patients with compensated cirrhosis develops ascites during the first 10 years after diagnosis. This matter was reviewed to decrease the figure of complications and deaths due to this cause.

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