Paracentesis for Ascites 腹腔穿刺術
2016-11-09
Common causes of ascites
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Cirrhosis
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Congestive heart failure
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Nephrotic syndrome
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Malnutrition
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Infectious peritonitis
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Cancer
Indications of paracentesis
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to collect ascitic fluid to aid in differential diagnosis and decision making
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to do needle drainage to help decompress the pressure and relieve the discomfort
The procedure
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The patients usually require no sedation or nil per os.
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During the procedure, the patient is asked to lie down and expose their abdomen.
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After cleaning the side of the abdomen with antiseptic solutions, physicians will insert a needle along with a plastic sheath to reach the ascitic fluid.
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The needle is then removed, leaving the plastic sheath behind to allow drainage of the fluid.
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After the procedure, the plastic sheath is removed, too.
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The puncture site is covered with aseptic dressings and gauze.
Aftercare
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Monitor symptoms like dizziness and excessive pain, and patients’ vital sign.
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Change the dressings if there is any excessive oozing from the puncture site.
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Follow up on the abdominal circumference.
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