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肝硬化腹水患者极易发生原发性腹膜炎,而非肝硬化病因所致的腹水患者则不然。为研究其间差别的原因,作者对25例肝硬化患者(包括坏死后性肝硬化19例,原因不明肝硬化4例,酒精性肝硬化2例)的腹水测定了杀菌力、调理素活性、补体及免疫球蛋白,同时还测定了22例非肝硬化患者(包括充血性心力衰竭6例,缩窄性心包炎6例,各种恶性肿瘤而未有肝受累者7例,结核性腹膜炎3例)的腹水及20例正常腹腔液(因不育、闭经等作腹腔镜时取出)以作对照。各组患者均于检查前至少4周未用过任何抗菌药物。
Patients with cirrhosis and ascites prone to primary peritonitis, rather than the cause of cirrhosis caused by ascites patients are not. To investigate the causes of the differences, the authors tested the efficacy of bactericidal, opsonic activity and complement in 25 patients with cirrhosis (including 19 with necrotizing cirrhosis, 4 with unexplained liver cirrhosis and 2 with alcoholic cirrhosis) And immunoglobulins. In addition, 22 patients with non-cirrhosis (including 6 cases of congestive heart failure, 6 cases of constrictive pericarditis, 7 cases of various malignant tumors without liver involvement, and 3 cases of tuberculous peritonitis were also examined. ) Of ascites and 20 cases of normal peritoneal fluid (due to infertility, amenorrhea and other laparoscopic removed) as a control. Patients in each group had not used any antimicrobials for at least 4 weeks prior to the test.