腹水浓缩回输治疗顽固性腹水61例临床观察  

Ultrafiltrated ascites reinfusion for the treatment of stubborn ascites(61 case clinical observations)

作　　者：黎海舰[1] 

机构地区：[1]广西百色市人民医院感染内科,533000

出　　处：《内科》2006年第2期110-112,共3页Internal Medicine

摘　　要：目的探讨腹水浓缩回输方法治疗顽固性腹水的临床疗效。方法61例顽固性腹水病人随机分成治疗组45例,其中经静脉回输10例,皮下回输20例,腹腔回输15例;对照组16例,采用传统的内科利尿疗法和补充人血白蛋白。观察所有病例治疗前后尿量、腹围和血浆白蛋白的变化。结果治疗组总有效率84.4%,对照组总有效率37.5%,两组比较,P<0.01。治疗组中腹水静脉回输和皮下回输血浆白蛋白水平均提高,P<0.01,腹腔回输者则无明显改善(P>0.05)。经静脉回输者显效10例,经皮下回输者显效12例,有效8例;经腹腔回输者有效8例,无1例显效,与前两者比较差异有显著意义(P<0.01)。结论静脉和皮下注射回输浓缩腹水,可减轻腹水量,增加尿量和提高血浆白蛋白,利于病人肝功能的恢复。Objective To study the the efficacy methods of concentrated ascites reinfusion in the treatment of intractable ascites. Methods 61 cases of intractable ascites were divided randomly into 2 groups: 45 cases in treatment group(10 cases were treated with vein reinfusion, 20 cases with subcutaneous reinfusion, 15 cases with abdominal reinfusion), 16 cases in control group were treated with traditional diuresis therapy and supplement of human albumin. The average value of urinary output, the abdominal perimeter and plasma albumin were analyzed respectively. Results The average value of abdominal perimeter in treatment group decreased significantly,while urinary output and plasma albumin increased significantly after the treatment, the total effective rates were 84.4%; Those parameters in control group had no significant changes after the treatment, the total effective rates were 37.5%; There were significant differences between two groups(P<0.01). In the treatment group, plasma albumin and urinary output increased in the cases that treated with vein reinfusion and subcutaneous reinfusion (P<0.01); However, plasma albumin had no obvious changes in those cases that treated with abdominal reinfusion(P>0.05),10 cases that treated with vein reinfusion had marked efficacy, 12cases that treated with subcutaneous reinfusion had marked efficacy, 9 cases had efficacy, while in those cases that treated with abdominal reinfusion, 8 cases had efficacy, no one case had marked efficacy. Conclusion Subcutaneous reinfusion can reduce ascites, increase the urinary output and plasma albumin. It is a safe and effective miehod for the intractable ascites patients.

关 键 词：腹水浓缩 回输治疗 顽固性腹水 临床观察 treatment 血浆白蛋白 静脉回输 腹腔回输 治疗组 总有效率 皮下注射 对照组 人血白蛋白 尿量 临床疗效 两组比较 回输血浆 回输方法 蛋白水平 病人 

分 类 号：R575.2[医药卫生—消化系统]