肝硬化并发自发性细菌性腹膜炎临床分析  

Clinical analysis of cirrhosis with spontaneous bacterial peritonitis

作　　者：曹海丹[1] 李腾庆[1] 罗晓蓉[1] 

机构地区：[1]广东省农垦中心医院内一科,广东湛江524002

出　　处：《中国医药导报》2011年第15期157-158,共2页China Medical Herald

摘　　要：目的:探讨肝硬化并发自发性细菌性腹膜炎的临床特点,以提高早期诊断率,减少相关危险因素,提高生存率。方法:回顾性分析对我院消化内科近5年住院的肝硬化并发自发性细菌性腹膜炎患者67例的临床资料,总结其临床特点。结果:本组67例中,治愈39例(58.2%,39/67),好转20例(29.8%,20/67),死亡8例(12.0%,8/67),死亡原因主要为肝肾综合征,其次为上消化道出血及肝性脑病。结论:早诊断、早治疗自发性细菌性腹膜炎是提高肝硬化患者生存率的关键。Objective:To assess the clinical features of liver cirrhosis with spontaneous bacterial peritonitis.Methods:Retrospectively analyzed 67 patients of liver cirrhosis with spontaneous bacterial peritonitis in department of Gastroenterology of our hospital for the past 5 years.Results:9 cases were cured(58.2%,39/67),20 cases were improved(29.8%,20/67),8 cases were died(12.0%,8/67) in 63 patients.The main causes of death were hepatorenal syndrome,followed by upper gastrointestinal bleeding and hepatic encephalopathy.Conclusion:Early diagnosis and treatment is the key to improve survival in the patients of liver cirrhosis with spontaneous bacterial peritonitis.

关 键 词：肝硬化 自发性细菌性腹膜炎 自发性腹膜炎 

分 类 号：R575.2[医药卫生—消化系统]