肝硬化合并结核性腹膜炎的诊断和治疗  

The diagnosis and treatment of hepatic cirrhosis complicated with tuberculous peritonitis

作　　者：李大鹏[1] 王启之[1] 

机构地区：[1]安徽蚌埠医学院附属医院消化科,233004

出　　处：《实用全科医学》2005年第2期105-106,共2页Applied Journal Of General Practice

摘　　要：目的探讨肝硬化合并结核性腹膜炎的诊断和治疗策略。方法对18例此类病人进行分析和治疗,观察疗效。结果18例病人除1例自动出院外,17例均取得满意疗效。结论肝硬化合并结核性腹膜炎的确诊需多方分析,综合判断。在无肝肾综合征前提下,转氨酶正常者采用OFHSE方案(氧氟沙星+异烟肼+链霉素+乙胺丁醇),转氨酶增高者,采用OFSE方案(氧氟沙星+链霉素+乙胺丁醇),具有较好的疗效和安全性。Objective To investigate the diagnosis and treatment of hepatic cirrhosis complicated with tuberculous peritonitis. Methods Clinical data of 18 cases from 1997 to 2004 were reviewed. Results The curative effect was very obviously in 17 patients (17/18). Conclusions OFSE (ofloxacin, streptomycin and ethambutol) is effective and safe for the cases with high level alanine aminotransferase (ALT), and OFHSE (OFSE and rimifon) for the cases with normal level ALT.

关 键 词：肝硬化 结核性腹膜炎 转氨酶 氧氟沙星 异烟肼 链霉素 

分 类 号：R575.2[医药卫生—消化系统] R526[医药卫生—内科学]