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目的探讨自体腹水双重滤过回输治疗尿毒症顽固性腹水的疗效及安全性。方法采用一次性静脉营养输液袋收集腹水代替置换液,前稀释法进行血液透析滤过治疗尿毒症顽固性腹水,每周2次,观察治疗前后体质量、腹围、腹水B超探测值改变情况,测定血浆白蛋白、肾功能、电解质水平。结果腹水消失3例,有效9例,无效0例。12例患者精神、食欲状况明显好转。结论自体腹水双重滤过治疗尿毒症顽固性腹水操作简单,安全有效,值得推广。
Objective To investigate the curative effect and safety of autologous ascites double filtration transfusion in the treatment of uremia refractory ascites. Methods One-time intravenous nutrition infusion bag was used to collect ascites instead of replacement fluid. The former dilution method was used to treat refractory ascites of uremia twice a week. The changes of B ultrasonic detection value before and after treatment were observed , Determination of plasma albumin, renal function, electrolyte level. Results ascites disappeared in 3 cases, effective in 9 cases, 0 cases. 12 patients mental, appetite significantly improved. Conclusion Ascites double filtration treatment of uremia refractory ascites simple operation, safe and effective, it is worth promoting.