医疗新知

卫教文章

Paracentesis for Ascites 腹腔穿刺術

2016-11-09
Common causes of ascites
  1. Cirrhosis
  2. Congestive heart failure
  3. Nephrotic syndrome
  4. Malnutrition
  5. Infectious peritonitis
  6. Cancer
Indications of paracentesis
  1. to collect ascitic fluid to aid in differential diagnosis and decision making
  2. to do needle drainage to help decompress the pressure and relieve the discomfort
The procedure
  1. The patients usually require no sedation or nil per os.  
  2. During the procedure, the patient is asked to lie down and expose their abdomen.
  3. 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.
  4. The needle is then removed, leaving the plastic sheath behind to allow drainage of the fluid.  
  5. After the procedure, the plastic sheath is removed, too. 
  6. The puncture site is covered with aseptic dressings and gauze.
Aftercare
  1. Monitor symptoms like dizziness and excessive pain,  and patients’ vital sign.
  2. Change the dressings if there is any excessive oozing from the puncture site.
  3. Follow up on the abdominal circumference.
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