Jacob I, Schott W, Schünemann B, Quellhorst E
Dtsch Med Wochenschr. 1979 Jul 20;104(29):1044-6. doi: 10.1055/s-0028-1129035.
In decompensated hepatic cirrhosis the glomerular filtration rate is reduced. Use of diuretics frequently leads to hyponatraemia, hypotension, hypovolaemia and oliguria. The ensuing renal insufficiency is reversible when the peritoneal fluid is redirected into the vascular system. For this purpose a subcutaneously implantable pump developed by Agishi was used in a 37-year-old patient permitting drainage of the ascites from the peritoneal cavity into the superior vena cava using an actively operated pumping mechanism. Use of the pump in the patient abolished the ascites, considerably improved renal function, equilibrated electrolyte metabolism and improved renal response to diuretics.
在失代偿期肝硬化患者中，肾小球滤过率降低。使用利尿剂常常导致低钠血症、低血压、血容量不足和少尿。当腹水被重新引流至血管系统时，随之而来的肾功能不全是可逆的。为此，一名37岁患者使用了由Agishi公司研发的可皮下植入的泵，该泵通过主动操作的泵送机制，将腹水从腹腔引流至上腔静脉。该患者使用此泵后腹水消失，肾功能显著改善，电解质代谢平衡，且肾脏对利尿剂的反应有所改善。
