目的:观察持续腹腔引流治疗顽固性腹水的疗效。方法:将顽固性腹水患者74例分为两组,治疗组38例,采用腹腔置管,持续腹腔引流腹水,3000mL/天;对照组36例,以常规补充白蛋白、限钠、限水、利尿治疗为主,比较两组的疗效。观察治疗组治疗前后患者尿量、腹围和体重变化,并比较治疗组与对照组在肝、肾功能及电解质的变化及总体疗效。结果:治疗组疗效优于对照组(P lt;0.05),与治疗前比较,治疗组治疗后尿量、腹围、体重有明显改变(P lt;0.01), 肝、肾功能及电解质与对照组比较无明显变化(P gt;0.05)。结论:持续腹腔引流治疗顽固性腹水经济适用,不良反应少,患者依从性好。
Citation：
HU Rong,ZENG Yilan,WANG Li,et al. Clinical Observation on Continuous Drainage of Abdominal Cavity in the Treatment of Thirty-eight Patients with Refractory Ascites. West China Medical Journal, 2009, 24(8): 2025-2026. doi:
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- 1. 中华医学会传染病与寄生虫病学分会、肝病学分会.病毒性肝炎防治方案[J].中华传染病杂志,2001,19:56-62.
- 2. RUNYON B A. Practice Guidelines Cominitlee, American Association for the study of liver Diseases (AASLD).Management of adult Patients With ascites due to cirrhosis[J]. Hepatology,2004,39(3):841-856.
- 3. MOORE K P, AITHAL G P. Guidelines on the management of ascites in cirrhosis[J].Gut, 2006,55 Suppl 6:1-12.
- 4. 姚希贤.肝硬化顽固性腹水的研究现状与进展[J].现代消化及介入诊疗,2005,10(2):87-88.
- 5. 田冀虹,谭万初,周道慧.肝硬化难治性腹水的临床治疗研究进展[J]. 实用中医内科杂志,2006,20(4):359-360.
