尿毒症合并肝硬化门脉高压患者的腹腔置管术

目的探讨尿毒症合并肝硬化门脉高压患者腹腔置管术的手术方式及术后腹腔积液的处理方式。方法6例尿毒症合并肝硬化门脉高压患者行腹腔置管术,术中采用“荷包缝合-切开腹腔-植入腹膜透析管-关闭腹腔”的手术方式,术后控制腹膜透析液入量和出量并观察腹腔积液量的变化情况。结果6例患者在手术中腹腔积液丢失量为100ml～600ml,术中生命体征平稳。术后5～15天达到腹腔积液达到控制,且未出现其他合并症。结论尿毒症合并肝硬化门脉高压患者行腹腔置管术是可行的。

Catheterization in uremia patients combined with hepatic cirrhosis and portal hypertension

Objective To discuss the method of catheterization and handling process in peroperative period in the uremia patients combined with hepatic cirrhosis and portal hypertension. Methods 6 uremia and hepatic cirrhosis and portal hypertension patients had been involved. They had their catheterization by this sequence in the operation: purse-string suture - discussion of peritoneal cavity - implantation of catheter - close peritoneal cavity. After the operations, the input and output volume of peritoneal dialysate had been controlled,and the limits of ascites had been evaluated. Results The loss of ascites in the operation were only 100ml to 600ml in these patients, and their vital sign were stable. Their ascites had been controlled during 5 to 15 days,and no more complication had been found. Conclusion It is feasible for catheterization to uremia patients combined with hepatic cirrhosis and portal hypertension.