甘露醇联合速尿治疗肝硬化腹水临床观察

目的：观察甘露醇联合速尿治疗肝硬化腹水与白蛋白联合速尿治疗肝硬化腹水的疗效差异。方法：135例肝硬化患者按入院次序随机分为甘露醇组和白蛋白组。甘露醇组每日静脉滴注20％甘露醇250ml加速尿20mg；白蛋白组每日静脉滴注白蛋白10g加速尿20mg，疗程为5～7d。结果：两组疗效及腹水消退时间的比较无统计学意义。结论：甘露醇联合速尿是治疗肝硬化腹水的一种经济可行的方法。

Clinical observation of curative effect of mannitol combined furosemide in treating cirrhosis ascites

Objective：To investigate the effective difference of mannitol combined furosemide and albumin combined furosemide in treating cirrhotic ascites.Methods： 135 cases of cirrhotic aseites were divided into the mannitol and albumin groups according to the admitring order.The mannitol group was given 250 ml of 20% mannitol plus 20 mg furosemide by intravenous drip, while the albumin group was given 10g albumin plus 20rag furosemide by intravenous drip once daily for 5-7 d.Results：The curative effect and time of ascites disappearance had no statistical difference between the two groups.Conelusion：Mannitol combined furosemide is an economic and feasible method to treat cirrhotic ascites.