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目的:探讨肝硬化腹水并发自发性腹膜炎(SBP)的临床诊治效果。方法:选择本院收治的100例肝硬化腹水并发SBP患者为观察对象,全部患者均接受各种临床和实验室和腹水培养等检查,以及接受系统的临床治疗,回顾分析患者的临床诊治效果。结果:肝硬化腹水并发SBP患者均存在不同程度的腹部症状、发热以及血压降低等其他体征,实验室检查结果证实患者李凡他试验多为阳性,蛋白含量在10 g/L以内,中性粒细胞(PMN)比例超过50%,腹水培养证实其革兰阴性菌所占比例较高。结论:结合患者的临床症状、实验室和腹水培养等检查结果进行综合判断,并实施系统的临床治疗,有助于患者预后的改善。
Objective: To investigate the clinical effect of spontaneous peritonitis (SBP) in cirrhotic patients with ascites. Methods: One hundred patients with cirrhosis with ascites complicated with SBP were selected as the observation subjects. All patients were examined with various clinical, laboratory and ascitic fluid culture tests, as well as the clinical treatment of the system. The clinical diagnosis and treatment effect was retrospectively analyzed. Results: Other signs of abdominal symptoms, fever and blood pressure were found in patients with cirrhotic ascites complicated with SBP. Laboratory tests confirmed that Li Fan was mostly positive in the test and had a protein content of less than 10 g / L. Neutrophils Cells (PMN) ratio of more than 50%, ascites culture confirmed its higher proportion of gram-negative bacteria. Conclusion: Combined with the clinical symptoms of patients, laboratory and ascites culture test results to make a comprehensive judgment, and the implementation of systematic clinical treatment, contribute to the improvement of prognosis in patients.