肝硬化腹水的处理有时相当困难。近年来虽由于各方面的努力,肝硬化腹水的治疗获得了一定的进展,但仍有不少病例疗效不显,被称为“顽固性腹水”。早在40及50年代,曾先后有人报告自身腹水再利用对治疗顽固性腹水有效,但限于当时的认识水平,对这一疗法的适应证、禁忌证、操作方法等还缺乏经验,致反应过大,效果不稳定,因而停止了使用。60年代虽也有不少报道,但褒贬参半,进展不大。然而自1971年法国学者Lévy及Caroli报告应用腹水浓缩机治疗顽固性肝硬化腹水成功以来,进展突气猛进,其它国家也有类似的成功报道,而且还有所发展。 Cirrhosis of the ascites treatment sometimes very difficult. Although in recent years due to all efforts, cirrhosis of the ascites treatment has made some progress, but there are still many cases of curative effect is not significant, known as “refractory ascites.” As early as the 40s and 50s, it was reported that aspiration of ascites was effective in the treatment of intractable ascites, but was limited to the level of cognition at that time. The indications, contraindications and operation methods of this therapy were also lack of experience, Large, the effect is not stable, thus stopping the use. Although there are many reports in the 1960s, they have not made much progress in judgments. However, since the French scholar Lévy and Caroli in 1971 reported that ascites concentrators have been used to treat refractory cirrhosis and ascites, the progress has been remarkable and similar successes have been reported in other countries as well as developments.