Abstract: Ascites is the most common complications and is mainly arisen from portal hypertension. The diagnosis of cirrhotic ascites can be determined by the history,physical examination and ascitic uid analysis. Effective treatment of cirrhotic ascites improves the quality of life and survival rate. Although the prognosis of ascites can be improved by some treatment options,once complications occur,the prognosis is poor. Liver transplantation remains the ultimate option of treatment. So,the earlier treatment begins,the better the patient’s prognosis. Western medicine treatment include daily sodium intake limitasiton,diuretics,vaptans and serum albumin infusion. Refractory ascites can be dealt with large-volume paracenteses,a cell-free and concentrated ascites reinfusion therapy,a transjugular intrahepatic portosystemic shunt,and a peritoneo-venous shunt. More and more literatures at home and abroad report that Chinese medicine combined with diuretics in the treatment of ascites has better efficacy. However,the theory of TCM treatment and evaluation system are yet not validated up to now. It is of great practical importance to establish a standardized comprehensive treatment program for improving the clinical efficacy of ascites. The present review puts emphasis on the diagnosis and therapeutic management of cirrhotic ascites.

Key words: Cirrhosis, Ascites, Diagnosis, Therapy