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采用一般内科疗法治疗难治性腹水常难奏效,针对不同病情有采用多次腹水放液术、腹水超滤浓缩后回输静脉、也有采用颈静脉腹腔分流术以期腹水消除,但疗效并不肯定,一些患者可因而引起感染、畏寒、发热、水电解质紊乱、凝血机制障碍,或肝性脑病。故认为晚期肝病的难治性腹水治疗问题目前并未满意解决。此外,部分腹水患者因合并腹膜病变而不适于上述疗法。为探索其他有效治疗途径,我们结合当前的条件,设计腹水超滤浓缩回输腹腔疗法(下称回输腹腔术),同时观察腹内压的改变情况。国内尚未见报告,现将试治6例报道如下。
General medical treatment of intractable ascites often difficult to work for different conditions have used multiple ascites effusion, ascites ultrafiltration concentrated back into the vein, but also the use of peritoneal shunt jugular venous ascites to eliminate, but the effect is not sure Some patients can then cause infection, chills, fever, water and electrolyte disorders, clotting disorders, or hepatic encephalopathy. Therefore, the treatment of refractory ascites in advanced liver disease is not currently satisfactorily resolved. In addition, some patients with ascites due to complicated peritoneal lesions are not suitable for the above therapy. In order to explore other effective ways of treatment, we combined with the current conditions, the design of ascites ultrafiltration concentrated transfusion abdominal surgery (hereinafter referred to as transfusion abdominal surgery), while observing changes in intra-abdominal pressure. No reports have been reported in China, and six cases are now reported as follows.