血清C反应蛋白对诊断肝硬化腹水合并自发性腹膜炎的意义

目的观察肝硬化腹水合并感染与C反应蛋白的关系。方法对58例肝硬化腹水合并感染患者进行C反应蛋白检测，并以60例肝硬化腹水未合并感染忠者作为对照。结果肝硬化腹水并发腹水感染时血清C反应蛋白浓度显著高于对照组（“P〈0.05”），敏感性亦高于白细胞计数、分类、腹水多形核白细胞、细菌培养（“P〈0．05”）。结论C反应蛋白测定可作为诊断肝硬化腹水并发感染的一个较敏感的指标。

Objective To study the relationship between CRP and ascites due to cirrhosis complicated with infection. Methods CRP in 58 cases of ascites due to cirrhosis complicated with infection were detected and compared with those of 60 cases of cirrhosis ascitic fluids. Results In the patients with ascites due to cirrhosis complicated with infection,CRP was highter than that without infection （P 〈0.05）.Senitivity of CRP was higher than white blood count, differential, polymorphonuclear and ascites bacterial culture （P 〈0.05）. Conclusion CRP is a sensitive marker to diagnose infection in the early stage of the patient with ascites due to cirrhosis complicated with infection.