【摘要】 目的:评价体外腹水浓缩腹腔回输对改善顽固性腹水的疗效。方法:选择42例顽固性腹水患者进行腹穿,使腹水经过体外浓缩再回输入腹腔,1个月后比较治疗前后的临床症状评分及生活质量评分,并观察血液生化指标的变化。结果:经过腹水浓缩回输后,临床症状、生活质量均显著改善(P＜0．01)。与治疗前比较,血浆白蛋白在治疗1d、1周后有统计学差异(P＜0．05),1个月后无统计学差异(P＞0．05),总胆红素在治疗后无统计学差异。结论:腹水浓缩回输腹腔治疗顽固性腹水,效果可靠,操作简单,并发症少,有利于提高患者的生活质量。更多还原

【Abstract】 Objective:To evaluate efficacy of patients with liver cirrhosis and refractory ascites treated with in vitro closed con- centration and reinfusion.Methods:Forty-two Patients with refractory ascites were treated with in vitro closed concentration and reinfusion.One months later,the symptom score,life quality score,weight,serum biochemical indexes,were compared before and after treatment.Results:After treatment,the symptom score,life quality were significantly improved.Serum albu- min levels were higher on in one day,one week after treatment than that of before treatonent (P＜0.05).No change could be detected in bilirubin(P＞0.05).Conclusion:In vitro closed concentration and reinfusion is a very simple and convenient way to relieves symptoms enhances life-quality for patients with liver cirrhosis.更多还原