肝硬化腹水并发自发性腹膜炎42例临床分析  

42 Cases Clinical Analysis of Spontaneous Bacterial Peritonitis in Patients with Liver Cirrhosis

作　　者：王红彬 姜利杰[2] 

机构地区：[1]吉林市医院,吉林吉林132001 [2]北华大学校医院,吉林吉林132013

出　　处：《北华大学学报（自然科学版）》2007年第3期241-242,共2页Journal of Beihua University（Natural Science）

摘　　要：目的 分析肝硬化并发自发性腹膜炎的临床特点及预后.方法 对42例肝硬化并发SBP患者的临床资料进行回顾性分析.结果 42例患者中,发热34例（80.9%）,腹胀37例（88.4%）,腹痛18例（42.1%）,腹水PMN≥0.50 36例（85.5%）.结论 肝硬化并发SBP临床表现不典型,治愈、好转率低,腹水常规检查可早期诊断,腹水PMN比值是诊断SBP的可靠参数.Objective To analyze the clinical characteristics and prognosis of spontaneous bacterial peritonitis in patients with liver cirrhosis. Methods We retrospectively analyzed 42 patients with liver cirrhosis. Results Among of all the patients： 34 cases febrile （ 80.9% ）, 37 cases abdominal distention （ 88.4 % ）, 18 cases abdominal pain（42.1% ）, PMN of ascites ≥0.50 36 cases（85.5 % ）. Conclusion The clinical situation of SBP in patients with liver cirrhosis is not typical example. It is low rate of healing and takes a turn for the better. The routine examination of ascites can diagnose in early period. PMN odds of ascites is reliable paramete to diagnosis of SBP.

关 键 词：肝硬化 腹水 自发性腹膜炎 

分 类 号：R51[医药卫生—内科学]