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肝硬化并发自发性腹膜炎的临床探讨
引用本文:朱文芝. 肝硬化并发自发性腹膜炎的临床探讨[J]. 实用全科医学, 2004, 2(5): 450-451
作者姓名:朱文芝
作者单位:安徽省肖县人民医院内科 235200
摘    要:目的 探讨肝硬化自发性腹膜炎的发病情况及有关因素。方法 对 42例肝硬化并发自发性腹膜炎的临床资料进行了回顾性分析。结果 肝硬化并发自发性腹膜炎的发生率为 9.81 % ,致病菌以G- 菌多见。结论 肝硬化并发自发性腹膜炎临床特点是起病不典型 ,腹水进行性增加。腹水细胞计数和 /或细菌培养是SBP的诊断依据。预防性抗生素治疗可防止肝硬化腹水发生自发性腹膜炎。

关 键 词:肝硬化  自发性腹膜炎  腹水  抗生素
修稿时间:2004-03-20

Study on the Clinical Feature of Spontaneous Bacterial Peritonitis(SBP)in Patients with Hepatocirrhosis
ZHU Wenzhi. Study on the Clinical Feature of Spontaneous Bacterial Peritonitis(SBP)in Patients with Hepatocirrhosis[J]. Applied Journal Of General Practice, 2004, 2(5): 450-451
Authors:ZHU Wenzhi
Affiliation:ZHU Wenzhi. Department of Internal Medicine,People's Hospital of Xiaoxian County,Anhui 235200
Abstract:Objective To study the incidence and related factors of spontaneous bacterial peritonitis inpatients with hepatocirrhosis. Methods The clinical data of 42 cases with spontaneous bacterial peritonitis were analyzed retrospectively. Results The incidence of SBP in patients with hepatocirrhosis was 9.81%. The Gram-negative bacilli were main bacteria. Conclusions The onset of SBP in patients is atypical and ascites increased progressively. The diagnosis depended on the leucocytes count and/or bacteria culture of ascites.
Keywords:Prophylactic antibiotic therapy could prevent SBP in patients with hepatocirrhosis. Hepatocirrhosis  Spontaneous bacterial peritonitis  Ascites  Antibiotics
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