腹水浓缩回输腹腔治疗顽固性腹水23例报告  

Treatment of patients with refractory ascites using reinfusion of concentrated ascites to abdominal cavity

作　　者：司博林[1] 王晓明[1] 申瑞芳[1] 

机构地区：[1]江苏大学附属医院肾内科,江苏镇江212001

出　　处：《江苏大学学报（医学版）》2006年第3期219-221,共3页Journal of Jiangsu University：Medicine Edition

摘　　要：目的:评价腹水浓缩回输腹腔治疗顽固性腹水的疗效。方法:23例顽固性腹水患者,在原治疗基础上加用腹水浓缩回输治疗,观察腹水浓缩回输前后体重、腹围、尿量、血浆总蛋白、白蛋白、血中电解质的变化。结果:治疗后所有患者体重下降,腹围减少,尿量增加(P<0.01);血浆总蛋白、白蛋白均升高(P<0.05);而血中电解质治疗前后无显著变化(P>0.05)。结论:腹水浓缩回输腹腔对治疗顽固性腹水有良好的效果。Objective： To observe the effects of reinfusion of concentrated ascites in patients with refractory ascites. Methods： Twenty-three patients diagnosed uhrafihrate fluid by means of hemofihration techneque parameters were detected ： abdomen circumference ,24h as refractory ascites were given reinfusion of ascitic on the basis of fundamental therapy. The following urine volume, the values of potassium, sodium, chloride, serum total protein and albumin. Results： After concentrated ascites reinfusion, all patients＇ weight and abdomen circumference decreased ,24h urine volume increased significantly（P 〈0.01 ）. The values of serum total protein and albumin were significantly elevated after concentrated ascites reinfusion（ P 〈0.05 ）. There were no significant differences in the values of serum electrolytes （ P 〉 0.05 ） before and after concentrated ascites reinfusion. Conclusion： Reinfusion of concentrated ascites has been a useful therapeutic method for refractory ascites.

关 键 词：腹水浓缩回输 腹腔 顽固性腹水 

分 类 号：R575.2[医药卫生—消化系统]