Evaluation of Outcomes and Complications of Large Volume Paracentesis without Albumin and Coagulopathy Therapy in Pediatrics with Severe Ascites.

Mahmoud Haghighat,Naser Honar,Mohammad Hadi Imanieh,Maryam Ataollahi,Seyed Mohsen Dehghani,Iraj Shahramian,Fereshteh Karbasian,Hamideh Komeily Fard,Marzieh Soheili, Seyede Maryam Mahdavi Mortazavi

Medical journal of the Islamic Republic of Iran（2023）

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摘要

Children having tense ascites with thrombocytopenia, prolonged PT, Child-Pugh class C, and encephalopathy can undergo large-volume paracentesis without any complication. Albumin administration before the procedure in patients with low levels of Albumin (<2.9) can effectively overcome the problems of tachycardia and increased mean arterial pressure. There will be no need for Albumin administration after paracentesis.

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