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本文21例中,男13例,女8例;年龄为21~74岁。患者均具有下列情况:腹水量大,并有不同程度的浮肿,且病程超过3个月;血钠低或/及血钾低;对水钠不耐受;对利尿剂(包括噻嗪类和速尿)疗效差。2例合并肝性脑病,3例合并上消化道出血,2例合并原发性腹膜炎,1例合并肝肾综合征。1.方法与疗效:入院后均行常规限钠盐、利尿(包括噻嗪类和速尿等药物)及蛋白类制剂静脉输注和保肝药系统内科治疗3周,腹水无明显变化者
This article 21 cases, 13 males and 8 females; aged 21 to 74 years old. Patients have the following conditions: a large amount of ascites, and have varying degrees of edema, and the duration of more than 3 months; low blood sodium and / or low potassium; water sodium intolerance; diuretics (including thiazides and Furosemide) poor efficacy. 2 cases with hepatic encephalopathy, 3 cases with upper gastrointestinal bleeding, 2 cases with primary peritonitis and 1 case with hepatorenal syndrome. 1. Methods and Efficacy: All patients underwent routine medical treatment of sodium, diuretic (including thiazide and furosemide) and protein preparations intravenously and hepatoprotective drugs for 3 weeks after admission, with no significant changes in ascites