目的:觀察持續腹腔引流治療頑固性腹水的療效。方法:將頑固性腹水患者74例分為兩組,治療組38例,采用腹腔置管,持續腹腔引流腹水,3000mL/天;對照組36例,以常規補充白蛋白、限鈉、限水、利尿治療為主,比較兩組的療效。觀察治療組治療前后患者尿量、腹圍和體重變化,并比較治療組與對照組在肝、腎功能及電解質的變化及總體療效。結果:治療組療效優于對照組(P lt;0.05),與治療前比較,治療組治療后尿量、腹圍、體重有明顯改變(P lt;0.01), 肝、腎功能及電解質與對照組比較無明顯變化(P gt;0.05)。結論:持續腹腔引流治療頑固性腹水經濟適用,不良反應少,患者依從性好。
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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- 3. MOORE K P, AITHAL G P. Guidelines on the management of ascites in cirrhosis[J].Gut, 2006,55 Suppl 6:1-12.
- 4. 姚希賢.肝硬化頑固性腹水的研究現狀與進展[J].現代消化及介入診療,2005,10(2):87-88.
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