Peritoneal catheter treatment of intractable ascites effect on plasma RAAS.docVIP

 PAGE \* MERGEFORMAT 2 Peritoneal catheter treatment of intractable ascites effect on plasma RAAS Author: Wang Yi, Yu Yi Han, Qu silver cases, Guo Yufei, namely, Chunyan, Wu Yong Jin, Xu Ling [Abstract] Objective To investigate the intra-abdominal placement of central venous catheter in the treatment of refractory ascites of the renin - angiotensin Ⅱ - aldosterone system (RAAS) effects. Methods 21 cases of cirrhosis in patients with refractory ascites, percutaneous guide wire inserted central venous catheter to guide France through the drainage catheter every other day a large number of ascites, while a comprehensive treatment of combined internal medicine, testing before and after ascites drainage of renin, angiotensin Ⅱ and aldosterone levels and body weight, abdominal circumference, urine output and renal function. Results All patients with a sense of abdominal distension, anorexia, difficulty in breathing are completely alleviate the symptoms, or partial remission; Purchase canal therapy can rapidly reduce the abdomen, effective in 33.3%, total effective rate was 71.4%; abdominal circumference and body weight after treatment were significantly lower than the treatment the former, while the renal function has been restored; and plasma renin, angiotensin Ⅱ and aldosterone levels were significantly reduced (P