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失代偿期肝硬化腹水并发白发性细菌性腹膜炎52例临床分析
引用本文:凌宇,王文娟. 失代偿期肝硬化腹水并发白发性细菌性腹膜炎52例临床分析[J]. 中国肝脏病杂志(电子版), 2013, 0(4): 47-49
作者姓名:凌宇  王文娟
作者单位:河南省传染病医院;新乡医学院第三附属医院;
摘    要:
目的探讨失代偿肝硬化腹水并发自发性细菌性腹膜炎(SBP)的临床特点及治疗方法。方法回顾性分析52例肝硬化腹水并发SBP患者的临床资料。结果52例肝硬化腹水并发SBP患者中,腹水细菌培养阳性率为3.85%,致病菌以革兰阴性杆菌为主,多数患者缺乏典型腹膜炎的症状及体征。结论及时准确的早期诊断和有效抗菌素治疗可明显提高SBP患者的治愈率。

关 键 词:肝硬化  腹水  腹膜炎

Clinical analysis of 52 cases of decompensation period of cirrhosis ascites complicated with spontaneous bacterial peritonitis
LING Yu,WANG Wen-juan. Clinical analysis of 52 cases of decompensation period of cirrhosis ascites complicated with spontaneous bacterial peritonitis[J]. Chinese Journal of Liver Diseases(Electronic Version), 2013, 0(4): 47-49
Authors:LING Yu  WANG Wen-juan
Affiliation:1.Infectious Disease Hospital of He'nan Province; Zhengzhou 450015, China; 2. The Third Affiliated Hospital of Xinxiang Medical College, Xinxiang 453003, China)
Abstract:
Objective To discuss the clinical characteristics and treatment of decompensation period of cirrhosis ascites complicated with spontaneous bacterial peritonitis (SBP). Methods Retrospective analysis of 52 cases clinical data of decompensation period of cirrhosis ascites complicated with SBP. Results In 52 patients with cirrhotic ascites complicated with SBP, bacteria culture positive rates was 3.85%, the pathogenic bacteria was dominated by gram-negative bacillus, and most patients lack of typical symptoms and signs of peritonitis. Conclusions Timely and accurate early diagnosis and effective antibiotic treatment can obviously improve the cure rates of patients with SBP.
Keywords:Liver cirrhosis  Ascites  Peritonitis
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