肝炎肝硬化并自发性腹膜炎的临床分析

目的探讨肝炎肝硬化并自发性细菌性腹膜炎的临床特点以及临床诊治方法。方法回顾性分析本院2010年1月至2013年12月间41例肝炎后肝硬化合并自发性细菌性腹膜炎患者的临床资料。结果 41例患者多临床表现不典型,腹水细胞计数和腹水细菌培养作为主要诊断依据,治愈好转35例,死亡6例(Child-Pugh分级B级全部治愈)。结论及时观察临床表现,进行必要的腹水检查,早期明确诊断、针对性的治疗有助于肝炎肝硬化并自发性腹膜炎治疗。

Clinical Analysis of Liver Cirrhosis with Spontaneous Bacterial Peritonitis

Objective To explore the clinical features and clinical method in the treatment of liver cirrhosis with spontaneous bacterial peritonitis. Methods A retrospective analysis of our hospital from January 2010 to December 2013 year 41 cases of liver cirrhosis combined with clinical data of patients with spontaneous bacterial peritonitis. Results 41 cases of patients with atypical clinical manifestations, ascites cell count and ascites bacterial culture as the main basis for diagnosis, 35 cases were cured or improved, 6 cases of death（Child Pugh grade B cured）. Conclusion To observe the clinical manifestation, the necessary ascites examination, early diagnosis, targeted therapy is helpful for the treatment of liver cirrhosis with spontaneous bacterial peritonitis.