How much ascites should not be released at a time for cirrhosis

If you have the ability to release ascites more than 3000ml at a time, it may cause a rapid drop in abdominal pressure, which will lead to a relative lack of blood volume and the appearance of hypotensive shock in patients, such as dizziness, panic, nausea, shortness of breath, pallor, etc. It may also cause complications such as hepatic encephalopathy and electrolyte disorders. If there are conditions to be able to a large amount of supplemental albumin, you can also put ascites more than 3000ml, put ascites 1000ml need to supplement protein 6-8 g. If there are conditions to put ascites at once, intravenous infusion of albumin 40-60 g. But for safety reasons, for patients with cirrhosis large amount of ascites, it is best to start with oral diuretics, commonly used diuretics are spironolactone plus furosemide . If diuretic effect is not good, you can choose to release ascites plus infusion of albumin treatment.