肝硬化顽固性腹水36例治疗体会

目的探讨肝硬化顽固性腹水的治疗方法。方法对我院1999～2005年收治的36例肝硬化顽固性腹水患者的治疗方法进行回顾性分析。结果根据患者的病情采用综合治疗,包括一般治疗,利尿,提高血浆胶体渗透压,抽腹水,应用抗菌药物和自体腹水浓缩静脉回输术。治疗2～3周后,显效23例,有效8例,无效5例（其中死亡3例）。结论积极寻找顽固性腹水治疗失败的原因并予以综合治疗是治疗成功的关键。

Experience in Treatment of 36 Cases with Refractory Ascites Due to Hepatic Cirrhosis

Objective To explore the therapeutic methods of refractory ascites due to hepatic cirrhosis.Methods 36 cases of refractory ascites due to hepatic cirrhosis from 1999 to 2005 were retrospectively analyzed.Results According to the specific conditions of the patients,synthesized treatments were adopted,Including the general treatment,diuresis,increasing of the plasma colloidal osmotic pressure,out-drawing of the ascites,application of antibiotics,and auto-condensedascites retrieval.After a treatment of 2~3 weeks,23 cases were cured,8 cases were valid,5 cases were invalid(of them there were 3 death cases).Conclusion Searching actively for the cause of the treatment failure of refractory ascites and adopting a synthesized treatment are the key to a successful treatment.