肝硬化合并自发性细菌性腹膜炎的病因分析

The etiological analysis of cirrhosis with spontaneous bacterial peritonitis

目的 :为探讨肝硬化合并自发性细菌性腹膜炎 (SBP)的致病菌及其来源。方法 :总结分析了我院 1 0年间所收治的肝硬化合并 SBP患者腹水细菌培养阳性的情况。结果 :在本组 2 5例腹水细菌培养阳性标本中 ,大肠埃希氏菌 1 6例 (6 4% ) ,肺炎克雷伯氏菌 3例 (1 2 % ) ,类肠球菌 2例 (8% ) ,弗劳地枸橼酸杆菌、洛菲氏不动杆菌、苯丙酮酸莫拉氏菌和铜绿假单胞菌各 1例 (各4% )。结论 :肠道细菌是肝硬化合并

Objective To evaluate the pathogenic origin of cirrhosis with spontaneous bacterial peritonitis(SBP).Method The positive ascitic fluid culture in patients among ten years in our hospital with SBP was evaluated.Results Twenty five patients have positive ascitic fluid culture,the infection of Escherichia coli,Klebsiella pneumoniae,Enterococcus faecalis,Citrobacter freundii,Acinetobacter Iwoffi,Moraxella phenylpyruvica and Pseudomonas aeruginosa were 16(64%),3(12%),2(8%),1(4%),1(4%),1(4%) and 1(4%) respectively.Conclusion The results showed that pathogens of SBP come mainly from enteric bacteria in patients with cirrhosis.