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原发性腹膜炎为重症肝病常见合并症之一,本文报告我院所见71例(包括前文报告的21例),并对有关问题加以探讨。一、肝病情况:71例中,肝炎后肝硬化63例,原发性肝癌合并肝硬化4例,亚急性肝坏死3例,胆汁性肝硬化1例,均属重度或晚期肝病患者,表现有不同程度的肝机能不全、门脉高压症及腹水。54例有黄疸,28例发病前后有上消化道曲张静脉破裂出血,肝功能多数明显减退。
Primary peritonitis is one of the common comorbidities of severe liver disease. This article reports 71 cases (including 21 cases reported in previous reports) in our hospital and discusses the related issues. First, the liver disease: 71 cases, 63 cases of posthepatitis cirrhosis, primary liver cancer with cirrhosis in 4 cases, 3 cases of subacute hepatic necrosis, biliary cirrhosis in 1 case, are severe or advanced liver disease, the performance of Different degrees of liver insufficiency, portal hypertension and ascites. 54 cases had jaundice, 28 cases before and after the onset of upper gastrointestinal variceal bleeding, liver function decreased significantly.