CAJ | 학술논문

目的观察腹水超滤浓缩腹腔回输治疗顽固性腹水的疗效.方法对37例顽固性腹水患者进行76次腹水浓缩回输治疗,观察治疗前后尿量、腹围、心率、血压、血电解质、血浆白蛋白、血总胆红素指标变化.结果治疗后较治疗前尿量明显增加[(1038.00±391.38) ml比(632.63±300.80) ml,P＜0.01],腹围明显减小[(86.49±10.61)cm比(96.71±10.16)cm,P＜0.01],治疗前后心率、血压、血电解质、血浆白蛋白、血总胆红素比较差异无统计学意义(P＞0.05).结论腹水超滤浓缩腹腔回输治疗顽固性腹水有一定疗效.
목적 관찰복수초려농축복강회수치료완고성복수적료효.방법대37례완고성복수환자진행76차복수농축회수치료,관찰치료전후뇨량、복위、심솔、혈압、혈전해질、혈장백단백、혈총담홍소지표변화.결과치료후교치료전뇨량명현증가[(1038.00±391.38) ml비(632.63±300.80) ml,P＜0.01],복위명현감소[(86.49±10.61)cm비(96.71±10.16)cm,P＜0.01],치료전후심솔、혈압、혈전해질、혈장백단백、혈총담홍소비교차이무통계학의의(P＞0.05).결론복수초려농축복강회수치료완고성복수유일정료효.
Objective To observe the curative effect of refractory ascites with ascitic ultrafiltration and reinfusion into abdominal cavity.Methods Thirty-seven patients diganosed as refractory ascites were given ultrafiltration and reinfusion into abdominal cavity.The following parameters were detected respectively:24h urine volume,abdomen circumference,heart rate,blood pressure,serum electrolytes,serum albumin,total serum bilirubin.Results After treatment,the 24h urine volume increased and abdomen circumference decreasd significantly (P ＜ 0.01 ).There was no significant difference in heart rate,blood pressure,serum electrolytes,serum albumin and total serum bilirubin before and after treatment (P ＞0.05).Conclusion Ascitic ultrafiltration and reinfusion into abdominal cavity has some effects on refractory ascites.