摘要
目的:探讨肝硬变并发自发性细菌性腹膜炎(SBP)的诊断、治疗及预防。方法:回顾性分析我院1997年1月～1997年10月183倒临床上诊断为肝硬变并发SBP患者的临床特点、实验室检查及治疗、预后情况。结果:临床上患者均有不同程度的腹痛、腹泻、发热、压痛及反跳痛,腹水细菌培养阳性率8.39%,腹水细胞数符合诊断标准者占60%;治疗上主要选用头孢三代及喹诺酮类,治愈率79.24%。结论:肝硬变并发SBP的诊断不能机械地套用诊断标准.而应综合考虑、全面分析。对严格符合SBP诊断标准的患者,选择头孢三代抗菌素治疗是安全有效的;对疑诊者,可选用喹诺酮类抗菌素,既有很好的治疗作用,又有预防作用。
Aim: To explore the diagnosis, therapy and prevention of the SBP with liver cirrhosis. Methods: To analyse retrospectively the clinical features (laboratory tests and treatment of 183 cases SBP with liver cirrhosis. Results: The patients had abdominal pain, diarrhoea, fever, tenderness, rebound tenderness in varying degrees. The positive rate of the bacterial culture in ascites was 8-39%. The consistency of the cell counts in ascites with the diagnosis standards made up 60%. We selected third generation Cephalosporins or Fluoroqindones to treat them. The rate of cure was 79. 24 %. Conclusion: The standard of the diagnosis of SBP should not be applied mechanically, but be analysed all-sided-ly. The ones up to the standard should select third generation Cephalosporins, As for the suspectable patients can select Fluoroqindones to treat or prevent infection.
出处
《中西医结合肝病杂志》
CAS
2000年第4期7-8,共2页
Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases
关键词
肝硬变
自发性细菌性腹膜炎
诊断
治疗
Liver Cirrhosis Spontaneus Bacterial Peritonitis Clinical Analysis
