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我院自1981年3月起对肝炎后肝硬变失代偿期大量顽固性腹水患者,在口服心得安的基础上,使用“腹水加肝素静脉回输法”(以下简称“回输法”)共治疗30例,132例次,疗效较好。临床资料男20例,女10例。年龄35—45岁9例,46—62岁21例;腹水出现时间最短45天,最长10年。肝功损害、临床症状、体征均表现典型的晚期肝硬变特征,6例表现为肝肾综合征。腹围92cm(87—110cm),对多种中西药利尿剂不敏感,24小时尿量波动在500—1000ml 之间,血浆总蛋白均低于5g%,白、球蛋白倒置,非蛋白氮和红细胞压积增高。
In our hospital from March 1981 on a large number of patients with decompensated liver cirrhosis refractory ascites, oral propranolol, based on the use of “ascites plus heparin venous return method” (hereinafter referred to as the “return” ) Were treated in 30 cases, 132 cases, the effect is better. Clinical data of 20 males and 10 females. 9 cases of age 35-45 years old, 21 cases of 46-62 years; ascites appear the shortest 45 days, the longest 10 years. Liver damage, clinical symptoms and signs are typical of advanced liver cirrhosis characteristics, 6 cases showed hepatorenal syndrome. Abdominal circumference 92cm (87-110cm), a variety of Chinese and Western medicine is not sensitive to diuretics, urine output fluctuations in the range of 500-1000ml between the plasma total protein were less than 5g%, white, globulin inversion, non-protein nitrogen and Hematocrit increased.