腹水超滤浓缩回输治疗顽固性腹水疗效观察

Efficacy of ascites reinfusion in treatment of refractory ascites

目的:观察腹水超滤浓缩回输治疗顽固性腹水的临床疗效。方法:用金宝AK95s型血液透析机、14S透析器及透析管路,对8例顽固性腹水患者进行腹水浓缩回输腹腔或静脉治疗,分析患者治疗前后腹围、体重、血浆白蛋白等指标并与9例未经腹水回输患者进行疗效对照。结果:所有患者回输治疗后腹胀、呼吸困难明显减轻,腹围缩小,体重下降、血浆白蛋白较治疗前明显增加(P<0.01),治疗组8例患者中有2例为显效,4例有效,2例无效,治疗总有效率为75%,而对照组9例仅3例有效,6例无效,总有效率为33.3%。两组比较有显著性差异(P<0.01)。结论:腹水超滤浓缩回输治疗顽固性腹水是一种安全有效的方法,值得临床推广应用。

Objective：To observe effect of ascites reinfusion on treatment of intractable ascites. Method：8 cases of refractory ascites performed reinfusion of ascites through abdominal or intravenous treatment after abdominal circumference,Body weight,serum albumin and other indicators were compared with the other 9 cases without ascites reinfusion. Result：After reinfusion,abdominal distension,dyspnea and body weight were significantly reduced.While,serum albumin significantly increased（P0.01） . Compared to control group,total effective rate of reinfusion was obviously higher（75% vs 33.3%,P0.01） . Conclusion：Ascites reinfusion treatment of refractory ascites is safe and effective.