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目的观察自体腹水超滤浓缩回输腹腔治疗顽固性腹水的效果。方法 57例经常规治疗无效的顽固性腹水患者在利尿等支持治疗的基础上加用腹水浓缩回输治疗,并与53例传统治疗的患者进行对比,观察疗效。结果腹水浓缩腹腔回输治疗患者腹水完全消退45例(78.9%),平均住院时间13天,用白蛋白30g/例,传统治疗患者腹水完全消退30例(56.6%),平均住院时间25.5天,用白蛋白90g/例;腹水浓缩回输治疗患者血清白蛋白、尿量明显增加,体重、腹围明显降低(P<0.01),血钾、钠、氯等无明显变化。结论采用闭路循环式腹水浓缩回输治疗顽固性腹水有一定的疗效。
Objective To observe the effect of autologous ascites ultrafiltration concentrating transfusion abdominal cavity treatment of refractory ascites. Methods Fifty-seven patients with refractory ascites treated by conventional therapy were treated with concentrated ascites infusion therapy on the basis of supportive diuresis, and compared with 53 patients treated with conventional therapy. The curative effect was observed. Results Ascites was completely resuscitated in 45 patients (78.9%) with an average length of hospital stay of 13 days. Ascites was completely eliminated in 30 patients (56.6%) and average length of stay was 25.5 days with albumin 30g / Serum albumin was treated with albumin 90g / case, and ascitic fluid was concentrated and transfused. The urine output increased obviously, body weight and abdominal circumference decreased significantly (P <0.01), and serum potassium, sodium and chloride had no obvious changes. Conclusions The treatment of intractable ascites with closed loop ascites concentration and reinfusion has a certain curative effect.