腹水浓缩回输腹腔治疗顽固性腹水23例报告

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。

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

Objective: To observe the effects of reinfusion of concentrated ascites in patients with refractory ascites.Methods: Twenty-three patients diagnosed as refractory ascites were given reinfusion of ascitic ultrafiltrate fluid by means of hemofiltration techneque on the basis of fundamental therapy.The following parameters were detected: abdomen circumference,24h 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.