自体腹水直接回输治疗肝硬化顽固性腹水临床疗效评价  

Clinical evaluation of paracentesis and intravenous infusion of ascites in treatment of hepatic cirrhosis

作　　者：董涛[1] 刘国庆[1] 张银华[1] 

机构地区：[1]山东潍坊医学院附属青州医院消化科,青州262500

出　　处：《中国全科医学》2001年第9期691-692,共2页Chinese General Practice

摘　　要：目的　评价放腹水、自体腹水直接回输治疗肝硬化顽固性腹水的临床疗效及对肝、肾功能和电解质的影响。方法　 45例患者的腹水检查均为漏出液 ,1次放腹水 2 0 0 0～ 30 0 0ml,取 10 0 0ml加地塞米松 10mg直接静脉回输。对治疗前后的观察值进行比较。结果　治疗后次日和 7日尿量较治疗前明显增加 (P <0 0 1) ,腹围明显缩小 (P <0 0 5 ) ,肝、肾功能及电解质无变化。结论　放腹水和自体腹水直接回输能迅速减少腹水 ,缓解病人腹部症状 ,安全可靠 。Objective To evaluate the clinical effect of paracentesis and intravenous infusion of ascites(PIIA)in treatment of refractory ascites due to hepatic cirrhosis.Methods Paracentesis was used in 45 cases,2 or 3 liters of abdominal fluid was taken from each patient,and l liter was infused intravenously immediately with 10mg of dexamethasone.The observed values before and after treatment were compared.Results After the procedure,the urine volume increased evidently(P<0 01)and abdominal perimeter decreased significantly(P<0 05).Not any abnormalities of hepatic or renal function and serum electrolyte were observed.Conclusion PIIA can reduce ascites quickly and relieve abdominal symptoms.It is also safe,reliable and has less side effect.

关 键 词：自体腹水静脉回输 肝硬化 顽固性腹水 

分 类 号：R575.2[医药卫生—消化系统] R442.5[医药卫生—内科学]