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目的探讨腹水超滤浓缩腹腔回输治疗难治性腹水的疗效。方法对98例难治性肝硬化腹水患者在常规治疗的基础上,采用腹水超滤浓缩腹腔回输术进行治疗,观察治疗前后患者症状、体征、尿量以及血清中相关生化指标的变化情况。结果经腹水超滤腹腔回输治疗,患者腹压迅速降低、腹胀明显减轻,尿量明显增多,与治疗前相比差异非常显著(P<0.001);血清总蛋白、白蛋白水平提高;尿素氮、肌酐水平降低;治疗前后比较差异显著(P<0.05);总有效率达83.7%。结论腹水超滤浓缩腹腔回输术治疗难治性肝硬化腹水,能够使症状迅速缓解、尿量明显增加,还能够提高血清白蛋白水平、改善肝肾功能,适应征广泛、疗效肯定,值得推广。
Objective To investigate the effect of ascites ultrafiltration concentrated abdominal transfusion for the treatment of refractory ascites. Methods 98 cases of patients with ascites due to cirrhosis were treated with ultrafiltration of abdominal cavity by ultrafiltration, and the changes of symptoms, signs, urine volume and serum biochemical indexes before and after treatment were observed. Results After transabdominal ultrafiltration transabdominal transfusion, the patients’ abdominal pressure decreased rapidly, their abdominal distension decreased obviously and the urine output increased obviously, which was significantly different from that before treatment (P <0.001). The serum total protein and albumin level increased. , Creatinine decreased; before and after treatment, the difference was significant (P <0.05); the total effective rate was 83.7%. Conclusion Ascites ultrafiltration concentrated abdominal transfusion for the treatment of refractory cirrhosis of the ascites, the symptoms can be quickly relieved, urine output increased significantly, but also can improve serum albumin levels, improve liver and kidney function, a wide range of indications, the effect is sure, it is worth promoting .