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本文对347例肝硬化患者的腹水进行分析,试图对感染性和非感染性腹水作出鉴别诊断。肝硬化诊断除临床表现外,89%的病人具有组织学依据,93%的病人为酒精性肝硬化。腹水穿刺时间大多于住院后几天进行,基本排除药物因素的影响。穿刺取得腹水后立即或在15～30分钟内注入血培养瓶中进行细菌培养,半小时内进行细胞计数和涂片检查。病人分组及检查结果见下表。
In this paper, 347 cases of ascites in patients with cirrhosis were analyzed in an attempt to make a differential diagnosis of infectious and non-infectious ascites. In addition to the clinical manifestations of cirrhosis diagnosis, 89% of patients with histological basis, 93% of patients with alcoholic cirrhosis. Ascites puncture time mostly in a few days after hospitalization, the basic rule out the impact of drug factors. Ascites obtained by puncture immediately or within 15 to 30 minutes into the blood culture flask for bacterial culture within half an hour of cell count and smear. The patient grouping and examination results are shown in the following table.