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重症肝炎并发自发性细菌性腹膜炎的临床观察及护理
引用本文:陈燕,兰天飙,彭隽,杨成,任星峰.重症肝炎并发自发性细菌性腹膜炎的临床观察及护理[J].实用临床医药杂志,2011,15(4):33-34,37.
作者姓名:陈燕  兰天飙  彭隽  杨成  任星峰
作者单位:广州军区武汉总医院,肾病内科,湖北,武汉,430070
摘    要:目的探讨重症肝炎并发自发性细菌性腹膜炎(SBP)的观察方法及护理对策。方法对120例重症肝炎并发SBP患者临床特点及护理措施进行回顾性分析。结果临床表现为发热102例(85.0%),腹痛52例(43.3%),腹部压痛62例(51.6%)。SBP诱因依次为感染性腹泻23例(19.2%),上呼吸道感染19例(15.8%),泌尿系感染5例(4.2%),压疮2例(1.7%),原因不明71例(59.2%)。治愈好转30例(25.0%),恶化或无效90例(75.0%)。结论重症肝炎并发SBP临床表现不典型,病死率高。加强病情观察、积极预防肠道及上呼吸道感染、注重心理护理是提高生存率的重要护理措施。

关 键 词:病毒性肝炎  重症肝炎  自发性细菌性腹膜炎  护理

Observation and nursing on spontaneous bacterial peritonitis (SBP)in patients with severe viral hepatitis
CHEN Yan,LAN Tian-biao,PENG Jun,YANG Cheng,REN Xing-feng.Observation and nursing on spontaneous bacterial peritonitis (SBP)in patients with severe viral hepatitis[J].Journal of Clinical Medicine in Practice,2011,15(4):33-34,37.
Authors:CHEN Yan  LAN Tian-biao  PENG Jun  YANG Cheng  REN Xing-feng
Institution:CHEN Yan,LAN Tian-biao,PENG Jun,YANG Cheng,REN Xing-feng(Wuhan General Hospital of Guangzhou Military Area Command,Wuhan,Hubei,430070)
Abstract:Objectives To explore the effective observation methods and nursing strategies of spontaneous bacterial peritonitis(SBP) in patients with severe viral hepatitis.Methods A retrospective research of 120 cases of SBP associated with severe viral hepatitis was done.Results Clinical manifestations of the patients with SBP were various,which are fever(85.0%,102/120),bellyache(43.3%,52/120),and abdominal tenderness (51.6%,62/120).The induced causes of SBP include infectious diarrhea(19.2%,23/120),upper respiratory...
Keywords:spontaneous bacterial peritonitis  viral hepatitis  severe type of hepatitis  nursing  
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