肝硬变并发自发性细菌性腹膜炎183例临床分析

目的：探讨肝硬变并发自发性细菌性膜炎（ＳＢＰ）的诊断、治疗及预防。方法：回顾性分析我院１９９７年１月－１９９７年１０月１８３例临床上诊断为肝硬变并发ＳＢＰ患者的临床特点。实验室检查及治疗，预后情况，结果，临床上患者均有不同程度的腹痛、腹泻、发热、压痛及反跳痛、腹水细菌培养阳性率８．３９％。腹水细胞数符合诊断标准者占６０％；治疗上主要选用头孢三代及喹诺酮类，治愈率７９．２４％，结论：肝硬变并发ＳＢＰ

Clinical Analysis of 183 Cases Spontaneus Bacterial Peritonitis with Liver Cirrhosis

Aim: To explore the diagnosis, therapy and prevention of the SBP with liver cirrhosis. Methods: To analyse retrospectively the clinical features (laboratory tests and treatment of 183 cases SBP with liver cirrhosis. Results: The patients had abdominal pain, diarrhoea, fever, tenderness, rebound tenderness in varying degrees. The positive rate of the bacterial culture in ascites was 8-39%. The consistency of the cell counts in ascites with the diagnosis standards made up 60%. We selected third generation Cephalosporins or Fluoroqindones to treat them. The rate of cure was 79. 24 %. Conclusion: The standard of the diagnosis of SBP should not be applied mechanically, but be analysed all-sided-ly. The ones up to the standard should select third generation Cephalosporins, As for the suspectable patients can select Fluoroqindones to treat or prevent infection.