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近年有见应用黄体酮冶疗肝硬化腹水的报道,笔者就见到4例试用,效果满意,现报道如下: 例1 胡荣德,男,60岁,农民。 住院号25800。因乏力,纳差伴腹胀一年余,加重一个月入院。诊断为肝炎后肝硬化腹水(顽固性)经用双氢克尿塞等利尿药并输冻T血浆250毫升治疗一周后,尿量不增,腹胀继续加重。即试用黄体酮40mg肌注,日一次,并续用上述利尿药。二天后,尿量明显增加,量达日2000ml以上。一周后腹水明显消退,腹壁平软,二周后“A”超确诊腹水消失。
In recent years, see the application of progesterone treatment of cirrhosis and ascites reported, I see the trial of 4 cases, the results are satisfactory, are reported below: Example 1 Hu Rongde, male, 60 years old, farmer. Hospital number 25800. Due to fatigue, anorexia with bloating more than a year, increased one month admission. Diagnosis of liver cirrhosis after ascites (intractable) by diuretic and other diuretics and frozen T plasma 250 ml a week after treatment, the urine output does not increase, abdominal distension continued to increase. Pro trial progesterone 40mg intramuscularly, once a day, and continued with the above diuretics. Two days later, urine output increased significantly, the amount of more than 2000ml. A week after ascites significantly subsided, the abdominal wall is soft, two weeks later “A” super-confirmed ascites disappeared.