肝病并发自发性细菌性腹膜炎临床诊断及治疗探析

目的探讨肝病并发自发性细菌性腹膜炎的临床诊治特点。方法回顾分析103例肝病并发自发性细菌性腹膜炎患者的临床资料,进行分析总结。结果 103例患者有不同程度的临床症状体征及实验室检查改变。所有患者治愈43例好转33例,死亡27例,总有效率为73.79%。死亡分为并发周围循环衰竭及并发肝衰竭。随Child-Pugh分级升高及PTA水平降低,死亡率升高(P<0.05)。结论肝病并发自发性细菌性腹膜炎表现多样,应及早综合治疗。

Objective To investigate the liver disease complicated with spontaneous bacterial peritoni- tis clinical characteristics of diagnosis and treatment. Methods Retrospective analysis of 103 cases of liver dis- ease complicated with spontaneous bacterial peritonitis in patients with clinical data. Results 103 cases of pa- tients with different degrees of clinical symptoms and signs and laboratory changes. All patients were cured, 43 cases improved in 33 cases, 27 cases died, the total efficiency of 73.79%. Death was complicated by peripher- al circulatory failure and liver failure. With the Child-Pugh grading and elevated PTA level reduced, increased mortality （P 〈 0. 05 ）. Conclusion Liver disease complicated with spontaneous bacterial peritonitis manifesta- tion, early combined treatment.