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对28例顽固性肝硬化腹水病人,分别采用单行自体腹水回输治疗(11例),自体腹水回 输伍用多巴胺及速尿治疗(17例)。结果表明两种方法均可取得较好疗效,治疗后血清白蛋白明显 增加,肾功能明显改善,电解质无明显变化,但同时伍用多巴胺及速尿治疗时治疗次数及回输腹水 液量较单行自体腹水回输均减少(P<0. 05),尿量增加更为显著(P<0.01)。提示伍用多巴胺及 速尿能舒张肾脏血管、增加肾血流量和肾小球滤过率,加强利尿。
Twenty-eight patients with refractory cirrhosis and ascites were treated with autologous transfusion of ascites (n = 11) and dopamine and furosemide (n = 17). The results showed that both methods can achieve better therapeutic effect, serum albumin significantly increased after treatment, renal function improved significantly, electrolyte no significant change, but at the same time with dopamine and furosemide treatment of treatment times and the number of fluid transfused than single Autologous ascites transfusion were reduced (P <0. 05), urine output increased more significantly (P <0.01). Prompt Wu dopamine and furosemide can diastolic renal blood vessels, increased renal blood flow and glomerular filtration rate, to strengthen diuretic.