Quand et comment prescrire de l'albumine à un malade atteint de cirrhose ? When and how to use albumin in patients with liver cirrhosis?
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Abstract:
Albumin constitutes an essential treatment in clinical hepatology. After large volume paracentesis, there is a high risk of circulatory disturbance which is associated with a shorter time to readmission for ascites and shorter survival. Albumin infusion (7 g/l of ascitic fluid removed) reduces the incidence of this circulatory dysfunction from more than 75 % when the procedure is performed without albumin to approximately 15 % when it is used. In patients with spontaneous bacterial peritonitis, albumin infusion in addition to an antibiotic reduces the incidence of renal impairment and death in comparison with treatment with an antibiotic alone. This beneficial effect is mainly observed in high risk patients HEPATOnGASTRO et Oncologie digestiveKeywords:
Spontaneous bacterial peritonitis
Paracentesis
Serum Albumin
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