35例肝硬化合并自发性腹膜炎的临床分析

目的探讨肝硬化失代偿期合并自发性细菌性腹膜炎（SBP）的易发因素、临床表现、实验室检查，以便及时预防和治疗，改善预后。方法对我院近期收治的35例肝硬化失代偿期合并自发性细菌性腹膜炎患者的临床资料进行回顾性分析。结果肝硬化失代偿期任何部位感染，均易合并自发性细菌性腹膜炎，致病菌多为需氧的革兰氏阴性菌（G-），其中大肠杆菌多发。两组病例在年龄、既往SBP史、Child—Pugh评分的比较有统计意义（P〈0．05，P〈0．01）。结论肝脏功能状况是SBP易发和复发的重要因素，也是影响SBP患者预后的重要因素。年龄越大、既往有SBP史、Child—Pugh评分越高，则死亡率越高，预后越差。

Clinical analysis of 35 cases of cirrhosis with spontaneous bacterial peritonitis

Objective To explore with decompensated liver cirrhosis complicated with spontaneous bacterial peritonitis(SBP)-prone factors,clinical manifestations,laboratory tests,to prevention and treatment and improve prognosis.Methods The hospital admitted 35 patients with decompensated liver cirrhosis with spontaneous bacterial peritonitis in patients with clinical data were retrospectively analyzed.Results Cirrhosis decompensated any part of the infection,are easily complicated by spontaneous bacterial peritonitis,pathogenic bacteria are mostly aerobic Gram-negative bacteria(G-),in which the E.coli multiple.The two groups in age,previous history of SBP,Child-Pugh score are statistically significant(P < 0.05,P <0.01).Conclusion Liver function status the SBP prone to relapse,but also important factors affecting the prognosis of patients in SBP.Older,previous SBP history,the higher the Child-Pugh score,the higher mortality rate,the worse the prognosis.