【摘要】 目的 探讨重型肝炎并发自发性细菌性腹膜炎(SBP)的临床特点以及相关因素，减少漏诊，提高抢救成功率。方法 回顾性分析65例SBP病人的临床资料。结果 重型肝炎病情险恶，发展快，并发症多，并发SBP比率高，临床表现不典型，病原菌以大肠埃希菌为主。腹膜炎一经确诊应该早期予抗生素治疗。结论 提高对重型肝炎合并SBP的认识。早期诊断及积极治疗是降低重肝合并SBP病死率的关键。

    【关键词】 重型肝炎；自发性腹膜炎

    Analysis of the coincidence spontaneous peritonitis in 65 patients with serious hepatitis

    LI Cheng ZHANG Yue-ping.Shanghaifengxian guhua Hospital,201400,China

    【Abstract】 Objective To investigate the clinical features and correlating factors of the patients with serious hepatitis coincidencing spontaneous bacterial peritonitis (SBP). To reduce misdiagnosis and increase cure rate. Methods retrospective analysis the clinical data of 65 patients with serious hepatitis coincidencing SBP. Results Serious hepatitis presented dangerous patient’s conditions, fast development and frequent coincidence, especially for SBP. The mark clinical features of SBP were not found. The main pathogenic bacterum was Esherichia coli. Antibiotic should be applied as early as possible once the diagnosis was made.Conclusion Early diagnosis and treatment are very important for reducing the mortality rate of patients with serious hepatitis coincidencing SBP. ......