肝硬化合并难治性腹水的临床治疗观察

Clinical treatment on refractory ascites with liver cirrhosis

目的:探讨肝硬化合并难治性腹水的临床症状及治疗措施。方法:收治肝硬化合并难治性腹水患者40例。随机分为对照组和观察组,各20例。对照组采用常规利尿治疗,观察组在此基础上联合放腹水及输注人血白蛋白治疗。结果:观察组治疗总有效率明显高于对照组,观察组各项实验室生化指标均优于对照组(P<0.05)。结论:常规利尿联合放腹水及输注人血白蛋白治疗肝硬化合并难治性腹水患者,不仅治疗有效率较高,而且还有利于优化患者各项实验室生化指标。

Objective:To investigate the clinical symptoms and treatment of refractory ascites with liver cirrhosis.Methods:40 cases of hepatocirrhosis with refractory ascites were selected.They were randomly divided into the control group and the observation group,with 20 cases in each group.Patients in the control group were treated with routine diuretic treatment,and the observation group combined with ascites and infusion of human albumin based on the routine diuretic treatment.Results:The effective rate of the patients in the observation group was significantly higher than that of the control group.All the laboratory biochemical indexes of the patients in the observation group were excellent than the control group(P<0.05).Conclusion:Routine diuretic combined with ascites and infusion of human albumin for treatment of cirrhosis complicated with refractory ascites is not only effective in treatment,but also conducive to optimizing laboratory biochemical indicators of patients.