肝硬化并发自发性腹膜炎的临床分析  

A Clinical Analysis of Spontaneous Bacterial Peritonitis accompanying Hepatocirrhosis

作　　者：邝子良[1] 陈虹心[1] 

机构地区：[1]广东省江门市中心医院消化内科,广东江门529000

出　　处：《河北医学》2006年第5期428-430,共3页Hebei Medicine

摘　　要：目的:探讨肝硬化自发性腹膜炎的发病情况及有关诱因。方法:对56例肝硬化并发自发性腹膜炎的临床资料进了回顾性分析。结果:肝硬化并发自发性腹膜炎的发生率为8.78%,致病菌G-菌多见。结论:肝硬化并发自发性腹膜炎临床特点起病不典型腹水中至大量,有进行性增加,顽固性腹水表现,腹水细胞计数和细菌培养是自发性腹膜炎(SBP)的诊断依据。肝硬化自发性腹膜炎可以通过综合支持治疗,适当应用抗生素治疗而得到预防。Objective： To study the cases and causes of Spontaneous Bacterial Peritonitis accompanying Hepatocirrhosis （ SBP ）. Method： Retrospective analysis of the data of 56 cases of SBP. Result： The rate of occurrence of SBP is 8.78%, mostly caused by G^- bacteria. Conclusion： There is no typically clinical feature for SBP to accompany cirrhosis, with medium to enormous amount of ascites which progressively increases. Its diagnosis is based on chronic ascites, the number of ascites cells and the cell cultivation. SBP with cirrhosis can be treated by comprehensive support and be prevented by appropriate application of antibiotics.

关 键 词：肝硬化 自发性腹膜炎 腹水 

分 类 号：R575.2[医药卫生—消化系统]