肝炎肝硬化并发自发性细菌性腹膜炎临床观察

目的探讨肝炎肝硬化并自发性细菌性腹膜炎的临床特点。方法对我科收治的70例肝硬化并自发性细菌性腹膜炎患者进行回顾性分析。结果肝炎肝硬化并发自发性细菌性腹膜炎多见于男性患者。多数患者全身毒血症状多较轻,腹膜刺激症状往往不明显,腹胀明显。自发性细菌性腹膜炎感染多见于革兰阴性菌。抗生素选用广谱、抗菌活性强效果好。结论抗感染治疗时间尽量长,效果较好。积极预防,早期发现和合理抗感染治疗肝炎肝硬化并发自发性细菌性腹膜炎更重要。

Objective To study the clinical characteristics of viral hepatitis--related hepatocirrhosis with spontaneous bacterial peritonitis（SBP）.Methods Data of 70 patients with spontaneous bacterial peritonitis were collected from patients＇records and analyzed retrospectively.Results Spontaneous bacterial peritonitis were prevalent in male patients,The majority of sera in patients with systemic symptoms of more than mild abdominal distension significantly, while the peritoneal irritation is often not obvious. Infection more common in Gram-negative bacteria. Liver disease multiple choice of broad--spectrum, strong antibacterial activity of antibiotics with good effects.Conclusion The treatment for SBP in patients with viral hepatitis--related hepatocirrhosis must be long enough to maintain the curative effectiveness.It is important that active prevention, early detection and rational treatment of anti--infective hepatitis cirrhosis with spontaneous bacterial peritonitis.