顽固性腹水是肝脏病变的常见并发症,近年来对顽固性腹水的治疗有很大的进展,除一般常规治疗外,有腹水回输、腹水引流、降低门静脉压力及改善肝脏微循环等,现讨论如下: 一、腹水回输术:腹水回输是顽固性腹水治疗的重大发展之一,已成为当前治疗肝硬化腹水的一种有效方法。它可调整血管内液和间隙液(腹腔液)的失调,不但可提高血浆蛋白浓度和胶体渗透压,而且还除去了腹水中大量水份和钠盐,增进有效循环血容量,降低腹内压,使门静脉和肾循环改善,因此临床应用此 Refractory ascites is a common complication of liver disease, in recent years the treatment of refractory ascites has made great progress, in addition to the conventional treatment, ascites reinfusion, ascites drainage, reduce portal pressure and improve liver microcirculation, etc., are Discussion is as follows: First, ascites transfusion: Ascites reinfusion is refractory ascites treatment of one of the major developments have become the current treatment of cirrhosis and ascites an effective method. It can adjust the imbalance of intravascular fluid and interstitial fluid (peritoneal fluid), not only can increase the plasma protein concentration and colloid osmotic pressure, but also remove the large amount of water and sodium in ascites, increase effective circulating blood volume, reduce intra-abdominal pressure , So that the portal vein and renal circulation improved, so the clinical application of this