Abstract:

Forty?two cases of advanced schistosomiasis with massive ascites were treated with paracentesis and infusion of dextran and albumin. The effective rate was 100%. No abdominal wall hematoma, internal bleeding and visceral injury except 2 cases of mild abdominal congestion. In conclusion, there is a significant short?term effect with a repeated small amount of paracentesis and infusion of albumin and dextran for advanced schistosomiasis with massive ascites.

Key words: Advanced schistosomiasis, Ascites, Albumin, Dextran, Therapeutic effect

摘要：

采用放腹水结合输注低分子右旋糖酐和白蛋白治疗晚期血吸虫病大量腹水42例， 有效率达100%； 除2例有轻微腹壁下淤血外， 无腹壁血肿、 内出血和内脏损伤等。小量多次放腹水结合输注白蛋白、 低分子右旋糖酐治疗晚期血吸虫病大量腹水近期疗效较好。

关键词: 晚期血吸虫病, 腹水, 白蛋白, 低分子右旋糖酐, 治疗效果