抄録
Thirty eight intractable ascitic patients were treated with peritoneocaval shunt pump. Thier original diseases were various. (liver cirrhosis 24, carcinomatous peritonitis 6, uremia 6, obstructive jaundice 1, Budd-Chiari syndrome 1, unknown origin 1) All patients had a significant reduction in body weight and abdominal girth concomitant with an increase in urine output after implantation. Improvement in renal and liver function was obtained in eight patients. One third of the patients (11 patients) died within the first month after pump implantation. The causes of the death at this period were original disease (5 patients), disseminated intravascular coagulopathy (4 patients), gastro-intestinal bleeding (1 patient) and unrelated disease (1 patient).
Further studies are nessesary to make the mortality rate diminish within the first month after operation.
