【摘要】 目的探讨肝硬化难治性腹水的治疗方法。方法应用腹水循环浓缩装置,一次性全腹水浓缩静脉回输治疗肝硬化腹水326例次。腹水为漏出液,鲎试验阴性,无癌细胞者可行浓缩静脉回输。每次放腹水(8960±1613)ml,浓缩至(1863±250)ml后,予以静脉回输。结果术后24h血浆白蛋白浓度明显升高,尿量显著增多,而人体电解质(血钠、血钾)、肾功能(血尿素氮)以及血液动力学(心率、平均动脉压)无明显改变。结论一次性全腹水浓缩静脉回输术是治疗肝硬化腹水一种安全、有效、经济、简单的治疗方法。更多还原

【Abstract】 Objective To investigate the treatment for liver cirrhosis with ascites.Methods With the ascites cycle-ultraliltration equipment,reinfused the concetrated ascites peritoneally to treat liver cirrhosis with ascites in 326 patients.If the ascites was transudate,limines amebocyte lysate(LAL)(-),and there was no cancer cell,it could be reinfused.Romove ascites (8960±1613)ml once,and then reinfused it after ultrafiltrated to (1863±250)ml.Results 24 hours after treatment plasma albumin level and urine volume rose obviously,while there was little change on electrolyte(blood sodium,blood potassium),renal function(BUN),and he-modyn-amics(HR,mpa).Conclusion Reritoneal reinfusion of all ultrafiltated ascites once is a safe,effective,economic,simple treatment for liver cirrhosis with ascites.更多还原