Application of drainage with central venous catheteriazation set in hepatic cirrhosis patients with refractory ascites

Objective To examine the clinical effective rate of drainage with central venous catheteriazation set in hepatic cirrhosis patients with refractory ascites.Methods One hundred and thirty hepatic cirrhosis patients were divided into two groups,62 patients in control group and 68 patients in the observed group.The observed group was treated with percutaneous abdominal paracentesis by using central venous catheteriazation set,the other patients in control group were treated with routine abdominal paracentesis.The clinical effect and the adverse reactions were observed.Results Decreasing of the weight,abdominal perimeter and increasing of urine volume per 24 hours occurred in the two groups.There was a statistic difference between the two groups(P0.01).The glutamic-pyruvic transaminase and the total bilirubin did not change obviously after treatment(P0.05)in both groups.After treatment,the total protein and albumen of plasma increased(P0.01),while the levels of the ureanitrogen and Cr decreased(P0.01),and the electrolyte did not change(P0.05).There was no statistic difference between the two groups(P0.05)by compared with these items.The clinical effective rate was 97% in the observed group,higher than that in control group(68%)(P0.01).The adverse reaction rate was 3% in the observed group,lower than that in control group(29%)(P0.01).Conclusion Compared with routine abdominal paracentesis,drainage with central venous catheteriazation set is an easy,safe,and effective method for hepatic cirrhosis patients with refractory ascites,with tiny trauma and no inflammation.