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目的 :探讨过多静脉输液和使用强力宁类药物能诱发肝性腹水的原因。方法 :对静脉输液和使用强力宁类药物后出现输液腹水综合征 2 2例病例进行分析。结果 :4例重度慢性乙型肝炎及 18例肝炎肝硬化患者经过多静脉输液和使用强力宁类药物后出现腹水。 7例B超检查显示门静脉增宽 4例 ,脾静脉增宽 6例。结论 :肝病尤其是肝硬化患者 ,过多静脉输液和 (或 )使用强力宁类药物可引起输液腹水综合征。该综合征的发生与过多补液体内水泛滥 ;强力宁类药物引起体内水钠潴留 ;肝内血液动力学障碍及肾脏功能性改变等因素有关
Objective: To explore the causes of excessive intravenous infusion and the use of strong Ning class drugs can induce hepatic ascites. Methods: Two cases of transfusion ascites syndrome after intravenous infusion and use of strong Ning drugs were analyzed. Results: Ascites was found in 4 patients with severe chronic hepatitis B and in 18 patients with hepatic cirrhosis after intravenous infusion of multi-venous fluid and use of powerful Ning class drugs. Seven cases of B-ultrasound showed portal vein widening in 4 cases, splenic vein widening in 6 cases. Conclusion: Liver disease, especially in patients with cirrhosis, excessive intravenous fluids and (or) the use of strong Ning class drugs can cause transfusion of ascites syndrome. The occurrence of the syndrome and excess fluid overload in the body of water flooding; strong Ning class drugs caused by sodium and water retention in vivo; intrahepatic hemodynamic disorders and changes in renal function and other factors