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目的:探讨自身腹水超滤浓缩腹腔回输技术在治疗重度妊高征并发大量腹水疗效。方法:对2000年1月至2005年6月入院的46例重度妊高征并发大量腹水病人术后分2组,研究组:用腹水超滤浓缩腹腔回输及静脉输注人体白蛋白治疗。对照组:抽放腹水及静脉输注人体白蛋白治疗。结果:研究组在腹水消退时间、血清蛋白、肝肾功能、电解质、血压、恢复正常时间,住院时间均比对照组短,差异有显著性(P<0.05);研究组白蛋白用量比对照组少,差异有显著性(P<0.05);研究组伤口愈合不良发生率比对照组低,差异有显著性(P<0.05)。结论:自身腹水超滤浓缩腹腔回输技术治疗重度妊高征并发大量腹水疗效肯定,具有腹水消失快、安全、经济、方便的优点。
OBJECTIVE: To investigate the effect of ultra-filtration and ultrafiltration of abdominal cavity on the treatment of severe PIH complicated with massive ascites. Methods: 46 patients with severe PIH admitted to hospital from January 2000 to June 2005 were divided into two groups after operation. The study group was treated with ultrafiltration of ascites, abdominal cavity infusion and intravenous infusion of human albumin. Control group: ascites drainage and intravenous human albumin treatment. Results: The study group had a significant difference in ascites extinction time, serum protein, liver and kidney function, electrolyte, blood pressure, normal time of recovery and length of stay in the study group compared with the control group (P <0.05) (P <0.05). The incidence of wound healing in the study group was lower than that in the control group, with significant difference (P <0.05). Conclusion: Ascites ultrafiltration concentrated abdominal transfusion technology for the treatment of severe pregnancy-induced hypertension complicated with large amounts of ascites efficacy, with disappearance of ascites fast, safe, economical and convenient advantages.