腹水浓缩回输治疗顽固性腹水的临床分析

目的探讨体外腹水浓缩回输治疗顽固性腹水的临床意义。方法选择顽固性腹水的患者，予以腹穿使腹水经过体外浓缩再回输入腹腔。观察体重、腹围、血液生化，利尿剂使用量的变化。结果与治疗前相比，腹水浓缩回输后，体重、腹围明显下降，利尿剂使用量减少，血浆白蛋白升高，胆红素、INR、电解质、肾功能无明显变化。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。

Clinical analysis of refractory ascites treated with concentration of ascites and reinfusion

Objective To observe the clinical outcome of patients with liver cirrhosis and refractory ascites treated with in vitro closed concentration and reinfusion. Method Patients with refractory ascites were treated with in vitro closed concentration and reinfusion. The body weight, waistline, serum biochemical indexes, dose of diuretic were observed. Results After treatment, the body weight, waistline and dose of diuretic were declined compared with before treatment. Serum albumin was highter in patients with in vitro closed concentration and reinfusion than before. No change could be detected in bilirubin, INR, serum electrolyte and kidney function. Conelusion In vitro closed concentration and reinfusion is a very simple and convenient way in patients with liver cirrhosis and benificial to enhance patients quality of life.