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腹水超滤浓缩回输腹腔术治疗肝硬化顽固性腹水的临床观察
引用本文:刘梁英,石钢,郑紫丹,万晓强,廖勤. 腹水超滤浓缩回输腹腔术治疗肝硬化顽固性腹水的临床观察[J]. 四川医学, 2012, 33(7): 1221-1223
作者姓名:刘梁英  石钢  郑紫丹  万晓强  廖勤
作者单位:1. 重庆市红十字会医院江北区人民医院消化内科,重庆,400020
2. 重庆市急救中心,重庆,400014
摘    要:
目的观察采用腹水超滤浓缩回输腹腔术治疗肝硬化顽固性腹水的临床疗效。方法对53例肝硬化顽固性腹水患者采用腹水超滤浓缩回输腹腔术治疗。结果治疗后患者腹胀症状缓解,尿量明显增加,血浆总蛋白、清蛋白、IgG、IgM、IgA、腹水总蛋白、清蛋白水平升高(P<0.01);血浆中钾、钠、氯、总胆红素无明显改变(P>0.05)。结论腹水超滤浓缩回输术能有效减少腹水、缓解临床症状、增强免疫力。

关 键 词:肝硬化  顽固性腹水  超滤浓缩回输腹腔术

Clinical study of auto-ascites re-infusion after purification in cirrhosis complicated with refractory ascites
Affiliation:LIU Liang-ying,SHI Gang,ZHENG Zi-dan,et al. The Digestive Medicine of Jiangbei Hospital of Chongqing Red Cross Hospital,Chongqing 400020,China
Abstract:
Objective To treat patients with refractory ascites(RA)with auto-ascites re-infusion after purification.Methods 53 patients with refractory ascites were treated by auto-ascites re-infusion after purification in this research.Results After the purification and re-infusion of ascites,tympanites relieve,urinary volume,plasma protein、plasma album、ascites protein、ascites album、IgG、IgM、IgA in increased significantly(P<0.01),K、Na、CL、TBIL had no obvious diversification(P>0.05).Conclusion The therapy of purifying auto-ascites re-infusion is effective to decreasing ascites,relieving clinical symptom,increasing immunity.
Keywords:cirrhosis  refractory ascites  re-infusion
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