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采用血液净化技术对肾病顽固性腹水进行腹水双浓缩回输治疗11例18例次。腹水回输方法为双透析器双浓缩回输法与单透析器双浓缩回输法。腹水回输与血液透析同时进行,腹水在体外经泵引入透析器后直接回输体内,同时增加透析负压使腹水达到体内浓缩,一次能回输全部腹水。腹水的流量可调节。所有病例均未发生血压异常及急性心衰,无腹水凝固、污染,无需增加肝素用量。肾原性腹水者回输后血浆蛋白平均增加15.1g/L,肾病综合征者一般情况显著改善。此法优于其它腹水回输方法。
Blood purification technology for renal refractory ascites double concentrated ascites reinfusion treatment of 11 cases of 18 cases. Ascites transfusion method for the double dialyzer double concentrated return method and single dialyzer double concentrated return method. Ascites reinfusion and hemodialysis at the same time, ascites in vitro by the pump directly into the dialyzer after the body, while increasing the dialysis negative pressure to the body to achieve ascites concentration, once all can return the ascites. Ascites flow can be adjusted. No cases of abnormal blood pressure and acute heart failure in all cases, no ascites coagulation, pollution, without increasing the amount of heparin. Renal ascites plasma protein infusion after the average increase of 15.1g / L, nephrotic syndrome, the general situation was significantly improved. This method is superior to other methods of ascites transfusion.