肝硬化合并自发性细菌性腹膜炎38例临床分析 |
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引用本文: | 侯瑞芳,牛卫理.肝硬化合并自发性细菌性腹膜炎38例临床分析[J].中医临床研究,2010,2(17):56-57. |
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作者姓名: | 侯瑞芳 牛卫理 |
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作者单位: | 鹤壁市传染病医院,河南,鹤壁,458000 |
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摘 要: | 目的:提高对肝硬化合并自发性细菌性腹膜炎(SBP)临床诊治水平的认识.方法:对38例SBP患者的临床表现、治疗及转归进行回顾性分析.结果:许多SBP患者临床表现不典型,诊断需要依靠腹水中多形核白细胞计数和细菌培养,Child-Pugh分级和凝血酶原活动度(PTA)均与SBP预后具有相关性,Child-Pugh分级评分越高,预后越差 PTA水平越低,预后越差.结论:SBP的临床诊断应综合考虑,早期诊断及积极治疗是提高SBP临床治愈率的关键.
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关 键 词: | 肝硬化 自发性细菌性腹膜炎 临床分析 |
Clinical analysis of 38 cases of cirrhosis plus spontaneity bacterial peritonitis |
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Abstract: | Objective: To improve the understanding of the clinical diagnosis and treatment of cirrhosis plus spontaneity bacterial peritonitis. Methods: To analyze the clinical manifestations and treatment of 38 cases of SBP patient. Results: The clinical manifestations of lots of SBP patient were atypical, the polymorphonuclear leukocyte count and bacterial culture were depended by diagnosis, child-Pugh classification and prothrombin activity (PTA) were related with the prognosis of SBP, the child-Pugh classification was higher, the prognosis was worse; The levels of PTA was lower, the prognosis was worse. Conclusion: To improve the clinical cure rate of the key SBP was early diagnosis and aggressive treatment. |
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Keywords: | Cirrhosis Spontaneity bacterial peritonitis Clinical analysis |
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