【摘要】 目的:分析肝硬化合并结核性腹膜炎(TBP)的临床特点,以期减少误诊率漏诊率及提高治疗疗效。方法:将我院从2000-01~2009-04收治32例确诊为肝硬化合并TBP的临床表现、实验室检查及治疗、预后情况进行回顾性分析。结果:肝硬化合并TBP临床表现不典型,实验检测阳性率低,极易误诊,其中首诊误诊为原发性腹膜炎81.3%,疗效均满意。结论:肝硬化合并TBP确诊困难,需综合考虑、全面分析,肝肾功能者正常者在保肝基础上采用LFHSE(左氧氟沙星异烟肼链霉素乙胺丁醇)方案安全有效,肝功能异常者则采用LFSE方案,联用胸腺肽α1及腹腔灌洗注射异烟肼、地塞米松综合性治疗可明显提高疗效。更多还原

【Abstract】 Objective:To analysis liver cirrhosis merge tubercular peritonitis(TBP) clinical characteristic,by the time reduction error diagnostic rate rate of missed diagnosis and enhancement treatment curative effect.Methods:From January 2000~2009 April,32 cases were diagnosed with cirrhosis(the TBP merger of clinical manifestations,treatment,laboratory examination and prognosis were retrospectively analyzed.Results:Clinical manifestation was not typical cirrhosis merger,experiment,easily misdiagnosed tested positie,including misdiagnosed as 81.3% idiopathic peritonitis,treatment satisfaction.Conclusions:liver cirrhosis merge(TBP) diagnoses the difficulty,needs the overall evaluation,the overall analysis,the hepatorenal function normal person in guarantees in the liver foundation to use LFHSE(left oxygen fluorine Sha Xingyi smoke jing chain mildew element ethylamine butylacohol) the plan safe effective,the liver function unusuality uses the LFSE plan,unites injects the different smoke with thymus peptide a1 and the abdominal cavity syringe jing,the dexamethasone comprehensive nature treatment to be possible to enhance the curative effect obviously.更多还原