| 慢性重型肝炎患者并发自发性腹膜炎后肾脏损害 |
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| 引用本文： | 李旭,苏菲. 慢性重型肝炎患者并发自发性腹膜炎后肾脏损害[J]. 热带病与寄生虫学, 1999, 28(3): 141-143 |
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| 作者姓名： | 李旭 苏菲 |
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| 作者单位： | 安徽医科大学第一附属医院传染病科,合肥,230022 |
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| 摘 要： | 目的探讨慢性重型肝炎(慢重肝)并发自发性腹膜炎后肾脏损害和肾脏损害加重(SBP—RI)的临床特点、转归及影响因素。方法对129例慢重肝 SBP 住院患者资料进行回顾性分析。结果与结论慢重肝病人常伴有 SBP-RI,患者年龄越大、肝病病程越长、合并其他感染或糖尿病、SBP 前已发生肾损害、病情越重,越易于发生 SBP-RI,且直接影响到病人的预后。SBP 前 BUN 值越高、血 Na~ 值越低、对抗生素治疗反应不良者,预后不佳。SBP-RI 的肾损害是功能性的,可以迅速恶化,也可以随着 SBP 的好转而稳定或好转。
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| 关 键 词： | 慢性重型肝炎 自发性腹膜炎 肾脏损害 |
RENAL IMPAIRMENT AFTER SPONTANEOUS BACTERIAL PERTONITIS IN CHRONIC SEVERE VIRAL HEPATITIS |
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| Li Xu,Su Fei. RENAL IMPAIRMENT AFTER SPONTANEOUS BACTERIAL PERTONITIS IN CHRONIC SEVERE VIRAL HEPATITIS[J]. Journal of Tropical Diseases and Parasitology, 1999, 28(3): 141-143 |
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| Authors: | Li Xu Su Fei |
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| Affiliation: | Hefei 230022 |
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| Abstract: | Objective To study the clinical features,prognosis and influence factors of renal impairment in chronic severe viral hepatitis with spontaneous bacterial peritonitis (SBP-RI).Method 129 discharged patients with chronic servere viral hepatitis (CSVH) complicated spontaneous bacterial pertonitis (SBP) were analyzed retrospectiv- ely.Results and Conclusions Renal impairment is a frequent event in CSVH patients with SBP.SBP-RI is functional in nature and may follow a repidly progressive or a steady course,may be reversed after resolution of the infeceion.Independent prognostic factors were age,clicical course of liver disease,other infection or dia- betes,severe renal impairment and serum sodium levels before SBP,infection responded to antibiotic therapy. |
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| Keywords: | chronic severe viral hepatitis spentaneous bacterial peritonitis renal impairment |
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