肝硬化腹水的常规治疗离不开利尿剂,但长期使用易产生耐药,剂量逐渐加大而疗效逐渐减退;并有损于肾脏,使肾血流和肾小球滤过率更为降低,很快发展成顽固性腹水,最终导致肾功能衰竭。氢氯噻嗪尚能诱发肝昏迷,呋塞米能引起听力障碍等副作用。我院内科试用口服甘露醇液治疗顽固性肝硬化腹水共15例取得良好效果。报道如下。 The conventional treatment of cirrhosis and ascites is inseparable from diuretics, but the long-term use of resistant, dose gradually increased and gradually diminished efficacy; and detrimental to the kidneys, renal blood flow and glomerular filtration rate is more reduced, Rapid development into intractable ascites, eventually leading to renal failure. Hydrochlorothiazide can still induce liver coma, furosemide can cause hearing problems and other side effects. Our hospital internal medicine trial of oral mannitol treatment of refractory cirrhosis ascites a total of 15 cases achieved good results. Reported as follows.