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目的:探讨腹水超滤浓缩回输治疗顽固性腹水的疗效及其影响因素。方法:采用FCN—01型腹水超滤浓缩回输机及DY—1060一次性型腹水浓缩器对40例顽固性腹水患者在抽取腹水浓缩后根据情况进行静脉或腹腔内回输。结果:40例患者平均每次抽水5246±1147ml。腹水浓缩7.32±3.36倍,平均减少腹围10.3±4.5cm,平均每次回输蛋白量85.3±74.6g。回输后尿量平均增加602.4±112.3ml/24h。40例中显效20例(50%),有效14例(35％),无效6例(15％),总有效率85％。结论:超滤浓缩回输既有消除腹水又有节省蛋白的双重效果,是临床上治疗顽固性腹水的一种有效方法。
Objective: To investigate the efficacy and influencing factors of refractory ascites treated by ultrafiltration and aspiration of ascites. Methods: Forty patients with refractory ascites were treated with FCN-01 ascites ultrafiltration concentrator and DY-1060 disposable ascites concentrator, and venous or intraperitoneal transfusions were performed according to the situation after concentrating ascites. Results: 40 patients on average each pumping 5246 ± 1147ml. Ascites was concentrated 7.32 ± 3.36 times, reducing the average abdominal circumference 10.3 ± 4.5cm, the average amount of protein returned each time 85.3 ± 74.6g. After the return of urine output increased by an average of 602.4 ± 112.3ml / 24h. Forty cases were markedly effective in 20 cases (50%), effective in 14 cases (35%), ineffective in 6 cases (15%), the total effective rate was 85%. CONCLUSION: Ultrafiltration is an effective and effective method for the treatment of refractory ascites due to its dual effect of eliminating ascites and saving protein.