腹水—颈静脉回流法治疗顽固性肝硬化腹水

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对顽固性肝硬化腹水的治疗,近年来有采用腹水浓缩回输机,提供了新的手段。我们在Leveen氏导管原理启发下,应用国产单向腹水回流硅胶管*(简称导管)治疗顽固性肝硬化腹水获得较好疗效,方法简便,经济易行。操作方法一、插管前准备:插导管前应检查全身情况,包括肝肾功能,电解质,腹水常规、生化、细菌培养和找癌细胞及心电图等;插导管前2天开始用地高辛,每次0.25毫克,每日3次,服2天后改维持量到腹水消退;插导管前一天起用青、链霉素以防感染。 The treatment of refractory cirrhosis and ascites in recent years have used ascites concentrated back to the machine, providing a new means. Inspired by the Leveen’s catheter principle, we applied the domestic one-way ascites reflux silicone tube * (referred to as the catheter) for the treatment of refractory cirrhosis and ascites to obtain a better curative effect. The method is simple and economical and feasible. Method of operation First, the preparation before intubation: Before catheterization should check the general condition, including liver and kidney function, electrolytes, ascites routine, biochemical, bacterial culture and looking for cancer cells and ECG, etc .; catheterization 2 days before digoxin, Times 0.25 mg three times a day, after serving 2 days to maintain the amount of maintenance to ascites subsided; catheterized day before the use of green, streptomycin to prevent infection.
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