肝病并发自发性细菌性腹膜炎诊治体会(1)
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【摘要】 目的 探讨肝病并发自发性细菌性腹膜炎的发病因素、诊治及预后。方法 收集安徽中医学院第一附属医院68例肝病患者并发自发性细菌性腹膜炎临床及实验室资料作回顾性分析,其中38例为肝硬化患者,12例为原发性肝癌患者,18例为重型肝炎患者。结果 68例患者中临床表现以发热为主(89.7%),多数患者腹水多形核白细胞明显升高(86.8%),腹水培养阳性率低(19.1%),头孢类抗生素疗效佳,其中死亡16例(23.5%)。结论 SBP是肝病晚期的严重并发症,临床表现不典型,综合的分析与及时的诊断与治疗对于预后有着举足轻重的作用。
【关键词】 肝硬化;重型肝炎;自发性腹膜炎;诊断;治疗
Liver disease complicated with spontaneous bacterial peritoneal
WEIXIU-li, LIU YONG-hua,LIU Li-li.First Affiliated Hospital of Anhui Medical College,Hefei,230031,China
【Abstract】 Objective To investigate the clinical features of spontaneous bacterial peritonitis(SBP) in patients with chronic liver disease. Methods The clinical manifestations and the laboratory examinations in 68 cases with chronic liver diseases were analyzed retrospectively, 68 cases in which 38 patients with cirrhosis , 12 patients with hepatocellular carcinoma and 18 patients with severe hepatitis ......
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