自发性细菌性腹膜炎实验诊断研究进展

Research progress in laboratory diagnosis of spontaneous bacterial peritonitis

自发性细菌性腹膜炎是肝硬化腹水患者常见且可致命的并发症,住院患者具有较高的病死率。延迟诊断和未能及时采用有效的抗生素治疗,可明显增加患者的死亡风险。因此,合理使用腹水分析,血清腹水检测以及腹水病原学检测等技术对实现该病早期诊断具有重要的临床意义。本文对自发性细菌性腹膜炎的实验室诊断进展进行综述。

Spontaneous bacterial peritonitis（SBP） is a common bur fatal complication in patients who developed cirrhosis with ascites, and can induce a high mortality in the in-hospital patients. Delaying diagnosis and lacking appropriate and timely antibiotic therapy can increase the risk of mortality significantly. Therefore, reasonable application of ascites fluid analysis, serum-ascites examination and ascites etiologic detecting technique are critical for early diagnosis of SBP. This article reviews the progress of laboratory diagnosis of SBP.