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肝硬变腹水系一较为常见疾病,病情发展、治疗不当出现顽固性腹水(RA),易于发生肝肾综合征(HRS),治疗上极为困难。为此,近年来不少学者进行了一些卓有成效的研究。 肝硬变RA是指腹水量较大,持续3个月以上,对常规利尿疗法失去反应,对水、钠均不能耐受,血钠<130mmol/L,尿钠<10mmol/L,尿钠/尿钾<1,CH_2O(自由水清除率)<1,GFR(肾小球滤过率)和RPF(肾血浆血流量)均低于正常。这种腹水患者具有明显的循环功能降低。尽管内脏血管床显著淤血,但心排血量、有
Cirrhosis of the ascites is a more common disease, progression, improper treatment of intractable ascites (RA), prone to hepatorenal syndrome (HRS), the treatment is extremely difficult. To this end, in recent years, many scholars conducted some fruitful research. Cirrhosis RA refers to the larger amount of ascites, for more than 3 months, loss of response to conventional diuretic therapy, water, sodium are not tolerated, serum sodium <130mmol / L, urinary sodium <10mmol / L, Urinary potassium <1, CH 2 O (free water clearance) <1, GFR (glomerular filtration rate) and RPF (renal plasma flow) were lower than normal. This ascites patients have a significant reduction in circulatory function. Although visceral vascular bed significant congestion, but cardiac output, there