肝硬化伴急性腹痛80例诊疗分析

Analysis of Diagnosis and Treatment of 80 Hepatic Cirrhosis Patients with Pcuta Abdominal Pain

对80例肝炎后肝硬化伴急性腹痛患者者作了诊疗分析。结果:内科性腹痛78例(97.5％),其中感染所致54例(67.5％),以原发性腹膜炎、胆系感染及急性肠炎常见。讨论了肝硬化患者内科性腹痛的特点及易感染的原因,强调了腹水及B超检查的重要性,指出了早期合理使用抗生素以及加强支持疗法的综合治疗,可减少病死率。

An analysis of diagnosis and treatment was performed on 80 hepatic cirrhosis patients with acute abdominal pain. The results showed that 78 patients with (97.5％)suffered from internal abdominal pain, among them 54 patients(67.5%)were due to infection. The primary peritonitis, biliary infection and acute enteritis were commonly seen. The study showed the charactreistic of internal abdominal pain and the susceptible factors in hepatic cirrhosis patients. It also emphasized the importance of B mode ultrasonic examination and aseitic fluid defection. In order to decrease the mortality, it was importan to use antibietics early and properly and stress the supperting treat-ment.