摘要
目的探讨肝硬化腹水合并自发性细菌性腹膜炎（SBP）的诊断、鉴别诊断,及治疗方法。方法回顾分析1995-01-2003-12间,我院收治的21例肝硬化腹水合并自发性细菌性腹膜炎病例的临床资料。结果13例好转出院,4例死于肝性脑病,2例死于肝肾综合征,2例死于上消化道大出血。结论肝硬化腹水合并自发性细菌性腹膜炎的诊断应综合考虑,不能完全依赖实验室检查结果,或简单凭借临床表现。早期诊断,及时采取综合治疗是降低病死率的关键。
Objective To discuss the diagnosis, differential diagnosis and treatment of cirrhosis ascites combined with spontaneous bacterial peritonitis. Methods The clinical materials of 21 cases of such patient in our hospital from January 1995 - December 2003 were analyzed retrospectively. Results 13 cases healed and discharged, 4 cases died of hepatic encephalopathy, 2 cases died of hepatic renal syndrome and 2 cases died of upper gastric hemorrhage. Conclusion The diagnosis of cirrhosis ascites combined with spontaneous bacterial peritonitis should be consideration complexly. There is hot only depend on clinical manifestion or lab results. The early diagnosis and proper treatment might be the key point to decrease the mortality.
出处
《黑龙江医学》
2008年第7期513-514,共2页
Heilongjiang Medical Journal
关键词
肝硬化腹水
自发性细菌性腹膜炎
诊断
鉴别诊断
治疗
cirrhosis ascites
Spontaneous bacterial peritonitis
Diagnosis
Differential diagnosis
Treatment
