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目的:研究肝硬化合并结核性腹膜炎的临床诊治方法和结果。方法:将我院收治的肝硬化合并结核性腹膜炎患者21例作为研究对象,分析临床症状表现,行血常规、腹水常规、影像学辅助检查,合理选择抗结核药物治疗,观察患者的临床治疗效果和肝功能恢复情况。结果:21例患者中治疗有效20例(95.2%),患者症状消失或减轻,腹水现象消退;因食管静脉曲张破裂出血死亡1例(4.8%)。患者治疗前肝功能Child-Pugh评分为(11.5±2.4)分,治疗后为(6.1±1.2)分,差异具有显著统计学意义(P<0.05)。结论:肝硬化合并结核性腹膜炎患者临床诊治困难,及时的临床诊断和合理的抗结核治疗方案(OFHES),可取得满意的治疗效果,具有安全高效的特点。
Objective: To study the clinical diagnosis and treatment of cirrhosis combined with tuberculous peritonitis. Methods: Twenty-one patients with cirrhosis and tuberculous peritonitis admitted to our hospital were enrolled in this study. The clinical symptoms were analyzed. The blood routine, ascites routine and imaging examination were selected, the anti-tuberculosis drugs were selected reasonably, and the clinical effect was observed And liver function recovery. Results: Among the 21 patients, 20 cases (95.2%) were effective and the symptoms disappeared or alleviated. The ascites phenomenon subsided. One patient died of esophageal variceal bleeding (4.8%). The Child-Pugh score of liver function was 11.5 ± 2.4 before treatment and 6.1 ± 1.2 after treatment, the difference was statistically significant (P <0.05). Conclusion: The clinical diagnosis and treatment of patients with cirrhosis combined with tuberculous peritonitis are timely, clinical diagnosis and reasonable OFHES, which can achieve satisfactory therapeutic effect and is safe and effective.