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肝硬化腹水(以下简称肝腹水)是晚期肝硬化最突出的临床表现,一般认为其形成因素:(1)门脉压增高;(2)血清白蛋白减低:(3)有效循环血量和肾血流量减少,致肾小球滤过率下降及继发醛固酮和抗利尿激素分泌增加;(4)利钠因子活性减低等。以往采取传统的利尿、导泻和放腹水疗法,对于一些顽固性腹水,均难以奏效。近来,我们采用肝腹水直接回输治疗了三例顽固性肝腹水病人,取得了满意的效果。典型病例王××,男,农民,54岁,以高度腹水二月余在外院多处治疗无效而来我院就医。查体:呈慢性肝病容,消瘦,一般情况差。蛙
Cirrhosis of the liver ascites (hereinafter referred to as liver cirrhosis) is the most prominent clinical manifestations of advanced liver cirrhosis, generally considered the formation of factors: (1) increased portal pressure; (2) serum albumin: (3) effective circulating blood volume and kidney Decreased blood flow, decreased glomerular filtration rate and increased secondary aldosterone and antidiuretic hormone secretion; (4) reduced sodium natriuretic activity and so on. In the past to take traditional diuretic, cathartic and ascites therapy, for some stubborn ascites, are difficult to work. Recently, we treated three patients with intractable liver and ascites with direct transfusion of liver ascites and achieved satisfactory results. Typical cases of Wang × ×, male, farmer, 54 years old, with a high degree of ascites in February outside the hospital multiple treatments invalid to our hospital for medical treatment. Physical examination: a chronic liver disease, weight loss, the general situation is poor. frog