肝硬化及其并发症演示文稿.pptVIP

Figure 10-49. Although peritoneovenous shunt can improve systemic hemodynamics and sodium homeostasis, its beneficial effects are usually short lived because of the high incidence of obstruction. Morbidity and survival correlate with the degree of hepatic dysfunction. Poor prognostic indicators are nonalcoholic etiology, a Pugh score 10, an ascitic protein concentration of 15g/L and a previous history of spontaneous bacterial peritonitis [27]. Recent multicenter randomized control trials did not show the shunt to be superior to either routine medical therapy or repeated paracentesis in term