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近年来我院对18例肝硬化腹水患者,在常规治疗的基础上加用胰岛素治疗,取得了满意的疗效,现报告如下: 一、一般资料18例中,住院病人14例,门诊4例,其中男16例,女2例、年龄最大63岁,最小32岁,腹水病程3～18个月,其中肝炎后肝硬化12例,隐匿性肝硬化4例,肝炎肝硬化2例,18例中大量腹水4例,中等量腹水8例,少量腹水6例,其中12例反复多次发作,血糖轻度增加2例。肝功能:白/球蛋白倒置3例,絮浊试验明显异常12例,SGPT<40u12例,白细胞、血小板减少4例,几乎所有病例都有不同程度的尿少,贫血、纳差、腹胀、有4例睡眠差。二、治疗方法在常规采用综合治疗肝硬化腹水的基础上每日皮下注射普通胰岛素8～12u,连续注射10天为1疗程,每疗程间隔5天,连续应用4～6个疗程。
In recent years, our hospital on 18 patients with cirrhosis and ascites, on the basis of conventional treatment plus insulin therapy, and achieved satisfactory results, are as follows: First, the general information 18 cases, inpatient 14 cases, 4 outpatients, Including 16 males and 2 females, the oldest 63 years old, minimum 32 years old, ascites course of 3 to 18 months, of which 12 cases of posthepatitis cirrhosis, occult cirrhosis in 4 cases, hepatitis cirrhosis in 2 cases, 18 cases A large number of ascites in 4 cases, a moderate amount of ascites in 8 cases, a small amount of ascites in 6 cases, of which 12 cases repeated episodes, mild increase in blood sugar in 2 cases. Liver function: white / globulin upside down in 3 cases, flocculation test was significantly abnormal in 12 cases, SGPT <40u12 cases, white blood cells, thrombocytopenia in 4 cases, almost all cases have varying degrees of oliguria, anemia, anorexia, bloating, 4 cases of poor sleep. Second, the treatment of conventional treatment of cirrhotic ascites based on daily subcutaneous injection of normal insulin 8 ~ 12u, continuous injection of 10 days for a course of treatment, each treatment interval of 5 days, continuous application of 4 to 6 courses.