摘要
目的探讨肝硬化合并自发性腹膜炎(SBP)的诱因、临床表现、检查治疗及预后情况。方法对68例肝硬化合并自发性腹膜炎的临床资料进行回顾性分析。结果肝硬化合并自发性腹膜炎发生率为8.18%,致病菌以G-菌多见。结论临床表现、体征及实验室检查多呈不典型表现,腹水进行性增加、腹水细胞数和/或细菌培养是SBP的诊断依据,综合支持治疗、三代头孢和腹腔灌洗为有效治疗。预防性应用喹诺酮类抗生素可防止SBP的发生。
Objective To investigate the inducement, clinical feature, treatment and prognosis of spontaneous bacterial peritonitis （SBP） accompanying liver cirrhosis. Methods Retrospective analysis of the data of 68 cases of SBP was made. Results The rate of occurrence of SBP wass 8.18 %, mostly caused by G- bacteria. Conclusion There are no typical manifestation, signs and laboratory, tests. The ascites increased progressively, the number of cells in ascites and/or the bacteria culture of ascites are the basis of SBP diagnosis. The comprehensive supportive treatment, use of third- generation cephalosporin and peritoneal lavage are effective for treatment of the disesae . The prophylactic antibiotic therapy could prevent SBP in patients with liver cirrhosis.
出处
《中国热带医学》
CAS
2008年第1期44-45,共2页
China Tropical Medicine
关键词
肝硬化
自发性腹膜炎
腹水
Liver cirrhosis
Spontaneous bacterial peritonitis
Ascites
