【摘要】 目的提高对肝硬化合并自发性细菌性腹膜炎(SBP)的认识。方法对我院2004年1月-2007年1月腹腔积液培养阳性的肝硬化合并SBP62例患者进行详细观察与分析。结果发热46例,腹痛32例,腹部压痛或反跳痛38例,腹泻19例,腹腔积液中性粒细胞(PMN)≥250个/mm323例,均经验性或根据药物敏感试验应用抗生素。治愈好转30例,自动出院6例,死亡26例,其中16例死于肝肾综合征。结论肝硬化合并SBP患者预后差,争取早期诊断与治疗,是提高生存率的关键。更多还原

【Abstract】 Objective To heighten the awareness of spontaneous bacterial peritonitis in live cirrhosis.Methods To analyse the clinical materials of 62 cases cirrhotic with SBP who were admitted to our hospital between January 2003 and January 2005.Results Forty six patients got fever, 32 patients had abdominal pain, 38 patients had tewderness and rebound tenderness,19 patients had diarrhoes, 23 patients had PMN≥250/mm3. All antibiotics were used basing on experience or the medication susceptible expeximent.30 patients were recovery.6 patients discharged without medical advice and 26 cases were died. Hepatorenal syndrome was the most reason of death. Conclusion SBP with cirrhosis was poor prognosis factor.Early diagnosis and treatment were critical to improve survival.更多还原