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腹腔-静脉分流术是治疗顽固性腹水的一种有效方法,然在术后早期可以并发消耗性凝血病,且在少数病例可引起广泛出血或死亡.这种潜在的严重并发症与腹水中的促凝血物质进入大循环有关.本研究旨在确定安装分流管时用生理盐水替代腹水是否能减少术后凝血病的发生或减轻其严重程度.材料和方法:将肝硬化伴顽固性腹水的24例患者分为二组.第一组14例,安装Leveen腹腔-静脉分流管(PVS),不置换腹水;第二组10例,安裝Leveen PVS前用盐水置换全部腹水,具体方法为:经腹部肝下区切口插入引流管,腹水抽尽后,注入5～6L生理盐水,随即拔掉插管,置入PVS.凝血研究包括测定PT、
Intraperitoneal-venous shunts are an effective method of treating refractory ascites, which can be associated with consumptive coagulopathy early in the postoperative period and can cause extensive bleeding or death in a few cases This potentially serious complication is associated with ascites Procoagulant substances into the circulation related to the purpose of this study is to determine the installation of shunt with saline instead of ascites can reduce the incidence of postoperative coagulopathy or reduce its severity.Material and methods: cirrhosis with refractory ascites 24 The patients were divided into two groups: the first group consisted of 14 cases with Leveen intraperitoneal-venous shunt (PVS) without ascites replacement; the second group with 10 cases with all the ascites replaced with saline prior to the installation of Leveen PVS. The specific methods were: Intragastric regional incision into the drainage tube, ascites exhausted, infused 5 ~ 6L saline, then unplug the cannula, into the PVS.Conclusion Including the determination of PT,