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肝硬化并发继发性腹膜炎10例临床分析
引用本文:李健,马晓菊,樊和斌,陈安慎,许可.肝硬化并发继发性腹膜炎10例临床分析[J].胃肠病学和肝病学杂志,2011,20(7):662+665.
作者姓名:李健  马晓菊  樊和斌  陈安慎  许可
作者单位:1. 解放军第161医院,放疗中心,湖北,武汉,430010
2. 解放军第161医院,感染科,湖北,武汉,430010
3. 解放军第161医院,普外科,湖北,武汉,430010
摘    要:本研究对10例肝硬化并发继发性腹膜炎的临床资料进行了回顾性分析。发现肝硬化并发继发性腹膜炎的常见原因有胃肠溃疡穿孔、化脓性阑尾炎、坏疽性胆囊炎。肝硬化并发继发性腹膜炎的临床特点:大多数患者腹痛不明显,外周血象偏高、感染中毒症状不明显。腹膜炎体征、外周血象细胞计数、腹部CT及腹部X光检查是诊断继发性腹膜炎的主要依据。

关 键 词:肝硬化  继发性腹膜炎  自发性腹膜炎

Clinical characteristics of secondary peritonitis in 10 cirrhosis patients
LI Jian,MA Xiaoju,FAN Hebin,CHEN Anshen,XU Ke.Clinical characteristics of secondary peritonitis in 10 cirrhosis patients[J].Chinese Journal of Gastroenterology and Hepatology,2011,20(7):662+665.
Authors:LI Jian  MA Xiaoju  FAN Hebin  CHEN Anshen  XU Ke
Institution:LI Jian1,MA Xiaoju2,FAN Hebin2,CHEN Anshen2,XU Ke3 1.Department of Radiotherapy,2.Department of Infectious Disease,3.Department of General Surgery,the 161th Hospital of Chinese People's Liberation Army,Wuhan 430010,China
Abstract:The cause of disease,diagnosis and treatment were analyzed in ten cirrhosis patients complicated with secondary peritonitis.Ten cases were treated by operation and 3 cases died.The common complications were hepatorennal syndrome,digestive hemorrhage and hepatic encephalopathy.Due to the high misdiagnosis rate and mortality rate in cirrhosis patients with secondary peritonitis,the early diagnosis,early surgical treatment,comprehensive treatment and anti-infection were needed.
Keywords:Liver cirrhosis  Econdary peritonitis  Pontaneous bacterial peritonitis  
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