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我院自88年10月起使用多巴胺静脉滴注治疗14例肝硬化顽固性腹水,取得了较为满意的临床效果,现报道如下:一、临床资料14例全系住院的肝炎后肝硬化失代偿期患者.其中男性11例,女性3例,年龄最大为56岁,最小为27岁,平均年龄42岁.本组患者在使用多巴胺治疗前均有大量腹水,腹水时间为2～8个月不等.上述患者入院后都经过限制钠、水摄入,并联合使用两种利尿剂治疗,腹水不能消退.其中9例多次抽排腹水,但腹水在短时间内又复增加.有6例尿量少于400毫升/日.
In our hospital since October 88 using dopamine intravenous drip treatment of 14 cases of cirrhosis of liver cirrhosis refractory ascites obtained more satisfactory clinical results are reported as follows: First, the clinical data of 14 cases of hospitalized patients with posthepatitic cirrhosis Reimbursement patients, including 11 males and 3 females, the oldest was 56 years old, the youngest 27 years old, average age 42 years before treatment with dopamine in this group have a large amount of ascites, ascites time is 2 to 8 months Ranging from the above patients admitted to the hospital after the limitation of sodium and water intake, and the combined use of two diuretics, ascites can not be dissipated.Among them, 9 cases of multiple drainage of ascites, but the ascites in a short time and increase again.6 Cases of urine output of less than 400 ml / day.