腹水回输机在难治性腹水治疗及护理中的应用

Application of ascites doping instrument in treatment of refractory ascites

目的:肝硬化引起的难治性腹水如不及时排除多余的水分及内毒素,将会引起并发症而危及患者的生命。超滤浓缩腹水回输机是治疗难治性腹水的重要手段。方法:通过对60例肝硬化引起顽固性腹水患者应用电脑腹水超滤浓缩回输机腹腔回输的疗效病例观察,了解回输机的性能及正确使用方法,并在回输过程中正确设置回输的速度、超滤的压力等,观察患者腹部穿刺点,做好回输前、回输中、回输后的护理。结果:60例患者经过治疗后,原有症状如腹胀、胸闷、呼吸困难得到明显改善,尿量明显增加,腹围变小,下肢水肿减轻,食欲增加,体重减轻,精神状态明显改善。结论:腹水超滤浓缩回输机是治疗难治性腹水的有效手段,只要正确使用,加强护理,就能达到一定的疗效。

Objective： Cirrhosis ascites could cause complications to endanger the patient＇s life if it does not rule out the refractory ascites and endotoxin. The ascites doping instrument is an important means of treatment for refractory ascites. To observe the effection of treatment in 60 cases. Methods： It is important to understand the performance and properly using method, set correctly the speed and ultrafiltration pressure and to observe patients abdominalpuncture point. These nursing measures are important in the treatment. Results： After treatment, original symptom such as abdominal distension, bosom frowsty, breathing difficulties have been improved obviously in 60 patients. They are significant in the increased urine output, the reduced leg edema, the increased appetite and weight loss, etc. Conclusion： Ascites doping instrument is an efficient tool to treat these patients of refractory ascites. It is necessary to correctly use it and strengthen nursing care of the patients.