肝硬化腹水患者并发自发性细菌性腹膜炎醮临床分析

目的分析肝硬化腹水并发自发性细菌性腹膜炎（SBP）的临床特点。方法选择2011年6月～2012年6月在我院住院治疗的肝硬化腹水并发SBP患者30例设立为观察组，另选择同期未并发SBP患者26例作为对照组，比较两组患者临床治疗情况及治疗后的各项生化指标情况。结果治疗后对照组的总有效率（88．5％）明显高于观察组（70．0％），两组间比较差异有统计学意义（X^2=-4．763，P〈0．05）。观察组治疗后的Na＋、TBIL高于对照组，ALB、PT均低于对照组，差异有统计学意义（P〈0．05）。结论肝硬化腹水患者并发SBP疾病较重，死亡率高，应采取积极有效的治疗措施，才能降低或减少SBP的发生。

Clinical analysis of spontaneous bacterial peritonitis in cirrhotic patients with ascites

Objective To analyze the clinical characteristics of spontaneous bacterial peritonitis in cirrhotic patients with ascites. Methods From June 2011 to June 2012, selected 30 cases in our hospital for treatment of patients with liver cirrhosis complicated with spontaneous bacterial peritonitis as the observed object, the establishment of the obser- vation group, and the other to select the same period is not concurrent bacterial peritonitis 26 patients as a control group, the observation group and the control group patients clinical situation and treatment of various biochemical in- dicators circumstances. Results After treatment,the total efficiency rate of the control group （88.5%） was significantly higher than the observation group, between the two groups with a significant difference （x2 = 4.763, P 〈 0.05）. Observa- tion group after treatment Na＋, the TBIL higher than, ALB, PT were lower than the control group, the difference was significant （P 〈 0.05）. Conclusion Heavier cirrhotic patients with ascites and spontaneous bacterial peritonitis disease, mortalityhigh, should take positive and effective treatment measures, in order to reduce or eliminate the occurrence of the SBP.