间断性闭式循环腹水回输的临床应用

The clinical application of intermittent cycle ascites reinfusion

目的观察间断性闭式循环腹水回输治疗难治性腹水的临床疗效。方法选择慢性肾功能衰竭维持性血液透析合并顽固性腹水患者30例。采用间断性闭式腹水回输方法与血液透析同步进行102次腹水回输。每次回输3000-5000m1．抽血观察透析前后肌酐、尿素氮、血浆总蛋白和血浆自蛋白。治疗前后观察体温、体重、腹围、血压和脉搏情况。结果所有患者治疗后，全身症状改善、食欲增加、腹胀减轻。平均治疗3．2例次。治疗前后体重、腹围、总蛋白、自蛋白、血肌酐和尿素氮比较，差异有统计学意义（P〈0．05）。结论间断性闭式循环腹水回输治疗透析相关顽固性腹水是一种安全、有效的方法。

Objective To observe the clinical effect of treating refractory aseites by intermittent cycle aseites reirffusion. Methods Having 30 refractory ascites patients of both chronic renal failure and maintenance hemodialysis（MHD）, treating them 102 times by intermittent dose aseites reirffusion and synchronous hernodialysis, having reirffusion aseites 3000 -5000ml each time,checking the change of serum ereatinine（Scr）,blood urea nitrogen（Bun） ,and serum albumin before and after hemodialysis（HD） by blood-test,and observing their temperature, weight, belly size, blood pressure, and pulse before and after treatment. Resttlts After treatment,all the patients feel well, have good appetite, and have less swollen belly. The average treatment is 3.2 times. The table shows the patients＇ weight, belly size, serum albumin, serum ereatinie and blood urea nitrogen（Bun） before and after treatment. The difference is obviously distinctive（ P 〈 0.05 ）. Conclusion It is a safe and effective way to treat HD-related refractory ascites by intermitten close cycle ascites reinfusion.