目的　评价放腹水、自体腹水直接回输治疗肝硬化顽固性腹水的临床疗效及对肝、肾功能和电解质的影响。方法　 45例患者的腹水检查均为漏出液 ,1次放腹水 2 0 0 0～ 30 0 0ml,取 10 0 0ml加地塞米松 10mg直接静脉回输。对治疗前后的观察值进行比较。结果　治疗后次日和 7日尿量较治疗前明显增加 (P <0 0 1) ,腹围明显缩小 (P <0 0 5 ) ,肝、肾功能及电解质无变化。结论　放腹水和自体腹水直接回输能迅速减少腹水 ,缓解病人腹部症状 ,安全可靠 ,副作用小 Objective To evaluate the clinical efficacy of ascites and autologous ascites transfusion in the treatment of refractory ascites due to liver cirrhosis and its effects on liver and renal function and electrolytes. Methods 45 cases of patients with ascites were leaking fluid, a drop of ascites 200 ~ 30 0 0ml, take 10 0ml plus dexamethasone 10mg direct intravenous infusion. The observed values ​​before and after treatment were compared. Results Urine volume on the next day and on the 7th day after treatment was significantly increased (P <0.01), abdominal circumference was significantly reduced (P <0 05), liver and kidney function and electrolyte unchanged. Conclusions Ascites and autologous ascites can be directly transfused to reduce ascites, relieve the symptoms of the patient’s abdomen, be safe and reliable, and have little side effects