摘要
目的利用人工肾技术研究腹腔内透析超滤腹水回输静脉治疗顽固性腹水的临床效果。方法42例顽固性腹水患者为研究对象。用内瘘穿刺针在双侧下腹穿刺引流腹水至人工肾 ,形成密闭循环 ,透析超滤腹水 ,最后从腹腔内回输浓缩腹水至静脉。结果共治疗42例63例次 ,每例治疗1～3次 ,腹水消退率达100 %。回输后血钠、血浆蛋白无明显变化 (P>0.05) ,血钾降低有统计学差异 (P<0.01)。无严重不良反应。结论本方法操作简便安全 ,治疗效果好 ,经济 。
Objective To study the therapeutic effect of the treatment of intractable ascites by reinfusion of ascites concentrated in the abdominal cavity with the artificial kidney. Methods 42 patients with intractable ascites were included in the study. To form a closed circulation for dialytic ultrafiltration by puncturing the bilateral lower abdomen and draining the ascites to the artificial kidney. Finally, reinfused the concentrated ascites in the abdomen into the vein. Results 42 patients were performed for 63 times. Every patient was treated for 1～3 times. The extinctive rate of ascites was 100%. After reinfusion, no statistic significance was found in serum sodium and plasma protein (P>0.05) ; Serum potassium was significantly reduced(P<0.05). No severe side effect occurred. Conclusion This method demonstrates many advantages such as safe, effective, simple, economical with fewer side effects.
基金
江苏省科技指导性计划项目(BS98329)
关键词
人工肾
顽固性腹水
回输腹水
Artificial kidney Intractable ascites Reinfusion
