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我院自1970年1月至1982年8月共收治698例肝硬化伴腹水患者,其中15例并发自发性细菌性腹膜炎,占同期肝硬化腹水病例的2.16％。材料 15例中,男10例,女5例;年龄自24至79岁不等,平均44岁。8例为慢性活动性肝炎、肝炎后肝硬化;5例为血吸虫病性肝硬化;2例为酒精性肝硬化。诊断自发性细菌性腹膜炎的依据是:1.有轻重不等的腹膜炎表现,而腹腔又无原发感染灶可寻;2.腹水常规检验有异常发现;3.腹水细菌需氧或厌氧培养阳性。
Our hospital from January 1970 to August 1982 were treated 698 cases of patients with cirrhosis and ascites, of which 15 cases of spontaneous bacterial peritonitis, accounting for 2.16% of cases of cirrhosis and ascites in the same period. Materials 15 cases, 10 males and 5 females; age ranging from 24 to 79 years old, with an average of 44 years. 8 cases of chronic active hepatitis, posthepatitis cirrhosis; 5 cases of schistosomiasis cirrhosis; 2 cases of alcoholic cirrhosis. The diagnosis of spontaneous bacterial peritonitis is based on the following: 1. There are varying degrees of performance of peritonitis, but no primary abdominal infection can be found; 2. Abnormal findings of ascites routine tests; 3. Ascites bacterial aerobic or anaerobic culture Positive.