肝硬変を合併した透析患者の難治性腹水にプロプラノロールが著効したと思われる１例

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  • A case of refractory ascites in a patient hemodialysis complicated with liver cirrhosis treated by propranolol.

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A 46-year-old man who had been undergoing hemodialysis for 10 years and had been diagnosed as having viral hepatitis type B when he was 39 years old was admitted to our hospital because of severe ascites.<br>We attempted many treatments including ECUM, water and salt restriction, rest and reinfusion of concentrated peritoneal fluid; however, none of the abovementioned procedures produced a favorable response. The patient was subsequently given 30mg of propranolol. After 10 weeks we detected a decrease in ascites and after 13 weeks were able to stop the reinfusion of concentrated peritoneal fluid. The patient made favorable clinical progress without side effects such as depression of liver function.<br>Propranolol is an effective treatment for ascites refractory to therapeutic interventions, such as reinfusion of concentrated peritoneal fluid, in hemodialysis patients whose condition is complicated by liver cirrhosis.

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