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肝硬化并发自发性细菌性腹膜炎的对比研究
引用本文:文明 任明. 肝硬化并发自发性细菌性腹膜炎的对比研究[J]. 中国交通医学杂志, 1999, 13(4): 461-462
作者姓名:文明 任明
作者单位:广州港港湾医院,中山医科大学第一附属医院,中山医科大学第一附属医院,中山医科大学第一附属医院 510700
摘    要:为探讨肝硬化病人并发SBP的危险因素.本文通过37例肝硬化并发自发性细菌性腹膜炎(SBP)与40例肝硬化腹水未并发SBP病人进行回顾性分析,结果:血清胆红素>51.3μmol/L,腹水蛋白量≤10g/L的肝硬化病人SBP发病率明显高于血清胆红素<51.3μmol/L,腹水蛋白>10g/L的肝硬化病人,两者存在显著性差异(P<0.05),对高危病人宜口服肠道灭菌剂如氟哌酸预防SBP的发生.

关 键 词:肝硬化  自发性腹膜炎  血清胆红素  腹水蛋白  危害因素

CONTROLLED STUDY OF SPONTANEOUS BACTERIAL PERITONITIS IN CIRRHOTIC PATIENTS
Affiliation:(Weng Ming,Ren Ming,Liu sichun.et al. Department of Guang zhou Harbour hospital,Guang Zhou 510700)
Abstract:To investigate the risk factor of spontaneous bacterial peritonitis (SBP) in cirrhotic patients 37 cases ofSBP and 40 cases without SBP in ascites with liver cirrhosis were analysed. Results:The incidence of SBP in serum biliru-bin levels of >51. 3μmol/L,ascitic fluid total protein levels of ≤10g/L is higher than that in serum bilirubin levels of <51. 3()mol/L,ascitic fluid total protein levels of > 10g/L (P<0. 05) . Conclusion: It is suggested that selective intestinal decontamination, such as norfloxacin,may prevent the first episode of SBP.
Keywords:Liver cirrhosis Spontaneous bacterial peritonitis Serum bilirubin ascitic fluid total protein Risk factor
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