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目的:探讨肝硬变顽固性腹水的治疗及影响疗效的因素。方法:用HAUF-B型腹水超滤机及PSU-I型聚砜中空纤维超滤器,对236例肝炎肝硬变顽固性腹水患者,进行自体腹水浓缩回输治疗。结果:治疗后腹围平均减少9.2±3.8cm,清除腹水量3787±1426ml,尿量平均增加582.4±108.5ml/24h,总有效率为68.6％。结论:自体腹水浓缩回输是治疗肝炎肝硬变顽固性腹水的有效方法。
Objective: To investigate the treatment of liver cirrhosis with refractory ascites and the factors affecting the curative effect. Methods: HAUF-B ascites ultrafilter and PSU-I polysulfone hollow fiber ultrafilter were used in the treatment of 236 patients with liver cirrhosis and refractory ascites. Results: After treatment, the average abdominal circumference decreased 9.2 ± 3.8cm, the volume of ascites was 3787 ± 1426ml, and the average urine output increased 582.4 ± 108.5ml / 24h. The total effective rate was 68.6%. CONCLUSION: Concentrated reinfusion of ascites is an effective method for the treatment of refractory ascites due to liver cirrhosis.