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我们采用聚乙二醇、赛璐芬透析管浓缩腹水的方法,对6例失代偿期肝硬化大腹水作了44次浓缩回输治疗,疗效较满意,其中3例肝炎后肝硬化,2例血吸虫病肝硬化,1例隐匿性肝硬化,腹水消长年限平均6.6月,最长达13年。本组平均每次抽放腹水4,658ml,浓缩至约770ml 后回输,平均每次清除腹水约3800ml。浓缩前后腹水蛋白平均含量分别为1.9克/dl 和7.7克/dl,平均每次回输腹水蛋白质56.7克,其中含白蛋白29.4克。超滤液中含大量钠、钾离子。平均每次超滤钠离子435mMol,钾离子75mMol。如此大量钠、钾离子的丢失,是消除腹水浮肿的基础。回输前一天平均尿量841ml,术后五天内平均每天尿量分别为1,058、
We use polyethylene glycol, Sai Luofen dialysis tube ascites concentration method, six cases of decompensated cirrhosis of the ascites made 44 concentrated reinfusion, the effect is more satisfactory, of which 3 cases of posthepatitic cirrhosis, 2 Cases of schistosomiasis cirrhosis, 1 case of occult cirrhosis, ascites years of decline in the average duration of 6. 6 months, up to 13 years. The group averaged 4,658ml of ascites on average each time, concentrated to about 770ml after the return, the average removal of each ascites about 3800ml. The average content of protein in the ascites before and after concentration was 1.9 g / dl and 7.7 g / dl, respectively, with an average of 56.7 g of protein and 29.4 g of albumin, respectively. Ultrafiltrate contains large amounts of sodium and potassium ions. On average, each ultrafiltration sodium ion 435mMol, potassium ions 75mMol. Such a large number of sodium, potassium loss is to eliminate ascites edema basis. The average urine output 841ml the day before the return, the average daily urine output within five days after surgery were 1,058,