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目的探讨腹水超滤浓缩腹腔回输在肝硬化顽固性腹水治疗的临床应用价值。方法6例肝硬化顽固性腹水患者在利尿、护肝等治疗的基础上加用腹水浓缩回输治疗,观察患者腹水回输前后体重、腹围、24h尿量的变化,检测血电解质、尿素氮、肌酐、血清白蛋白、总胆红素指标及和腹水电解质、白蛋白指标,并观察并发症情况。结果经腹水浓缩治疗后能迅速缓解患者的腹胀症状,增加尿量,总有效率71.74%,患者治疗前后血电解质、尿素氮、肌酐、血清白蛋白、总胆红素水平之间的差异有无统计学意义(P>0.05),腹水电解质、白蛋白水平之间的差异有有统计学意义(P<0.05),无严重并发症。结论腹水超滤浓缩回输术治疗肝硬化顽固性腹水,方法简便易行,安全。
Objective To investigate the clinical value of ascites ultrafiltration concentration abdominal transfusion in the treatment of cirrhosis and refractory ascites. Methods Six patients with cirrhosis and refractory ascites were treated with concentrated ascites infusion therapy on the basis of diuresis and liver protection. The changes of body weight, abdominal circumference and 24h urine volume before and after transfusion of ascites were observed. Blood electrolytes and urea nitrogen , Creatinine, serum albumin, total bilirubin and ascites electrolyte, albumin index, and observe the complications. Results After ascites concentration treatment can quickly relieve bloating symptoms in patients with increased urine output, the total effective rate was 71.74%, before and after treatment of patients with blood electrolytes, urea nitrogen, creatinine, serum albumin, total bilirubin levels between the difference Statistical significance (P> 0.05), ascites electrolyte, albumin levels between the differences were statistically significant (P <0.05), no serious complications. Conclusion Ascites ultrafiltration concentrated transfusion for the treatment of refractory cirrhosis of the ascites, the method is simple and safe.