肝硬化并发自发性细菌性腹膜炎59例临床分析

Clinical analysis of 59 cases spomtaneus bacterial peritonitis with liver cirrhosis

目的 :探讨肝硬化并发自发性细菌性腹膜炎 (SBP)的诊断和治疗。方法 :回顾性分析我院 5年间收治的肝硬化并发SBP患者的临床特点、实验室检查及治疗、预后情况。结果 :本组腹水细菌培养阳性率 30 .5 % ,肠道细菌是主要致病菌。治疗上主要选用二、三代头抱菌素及喳诺酮类 ,治愈率 71.1%。结论 :认识肝硬化并发SBP的临床特点 ,有助于提高治疗的成功率 。

Objective: To explore the diagnosis,therapy of cirrhosis with Spomtaneous bacterial peritontis (SBP).Methods: To analyse retrospectively the clinical features,laboratory tests and treatment of 59 cases SBP with liver cirrhosis.Resuts:The positive rate of the bacterialculture in ascites was 30.5%,Pathogenic bacteria of enteric bacteria. We Selected two and third generation cephalosporins or fluoroqindones to treat them.The rate of Cure was 71.1%. Conclusiom:Incrdasing thd recognition of the clinicalfeatures of SBP with liver cirrhosis will be helprul to increase the successful therapeutic rate and to decrease the mortality.