肝硬化顽固性腹水回输方法很多。本法采取原腹水直接回输,不用中心静脉压监测,避免创伤,简便易行。我院行两例其5次腹水回输,均收到满意效果。两例皆确诊为门脉性肝硬化失代偿期。经20余天常规保肝利尿治疗,症状仍不缓解,遂采用腹水直接回输治疗。方法:术前查血常规、血小板、出凝血时间;腹水查检确定为漏出液,无细菌生长,无病理细胞。把无菌瓶置于低处,腹腔穿刺,使腹水直接流入瓶中。瓶满后关闭腹腔胶管,然后将腹水直接静脉点滴,平均每小时600毫升。根据尿量酌情给予利尿剂并调整回输速度。术中补钾,给抗生素予防感染,少量地塞米松或苯海拉明予防回输反应。例1 第一次回输历时10小时,回输量为6,000毫升,尿量为4,000毫升。症状明显好转,体重减 Cirrhosis stubborn ascites transfusion method many. The method of direct transfusion of ascites, without central venous pressure monitoring, to avoid trauma, simple and easy. Our hospital two cases of its 5 ascites transfusion, have received satisfactory results. Two cases were diagnosed as decompensated portal hypertension. After more than 20 days of conventional liver and urine treatment, the symptoms are still not alleviated, then the use of ascites direct transfusion therapy. Methods: Preoperative blood tests, platelets, a clotting time; ascites confirmed as leakage of liquid, no bacterial growth, no pathological cells. The sterile bottle placed in the lower, abdominal puncture, so that ascites directly into the bottle. Close the peritoneal tube after the full bottle, and then ascites direct intravenous drip, an average of 600 ml per hour. According to the amount of urine given diuretics and adjust the speed of return. Intraoperative potassium, to antibiotics to prevent infection, a small amount of dexamethasone or diphenhydramine to prevent the infusion reaction. Example 1 The first return lasted 10 hours, the volume of 6,000 ml and the volume of urine 4,000 ml. Obvious improvement in symptoms, weight loss