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90例中,肝炎后肝硬化79例,原发性肝癌并发肝硬化7例,亚急性肝坏死3例,胆汁性肝硬化1例。提示诱发此病的因素有腹泻、上消化道出血、分娩、腹腔穿刺;重症肝病出现不明的急腹痛、发热、休克、肝性昏迷、腹水中细菌数>300/mm.,中性粒细胞>50%等对该症的诊断有重要意义,腹水细菌培养阳性是诊断的依据,但其阳性率不高,腹水乳酸盐测定>25omg/d1有辅助诊断价值。强调诊断时综合分析的重要性。
In the 90 cases, there were 79 cases of post-hepatitis cirrhosis, 7 cases of primary liver cancer complicated by cirrhosis, 3 cases of subacute hepatic necrosis and 1 case of biliary cirrhosis. Prompted the disease caused by diarrhea, upper gastrointestinal bleeding, childbirth, abdominal puncture; severe liver disease with unknown acute abdominal pain, fever, shock, hepatic coma, ascites bacteria> 300 / mm., Neutrophils> 50% of the diagnosis of the disease is of great significance, ascites bacterial culture positive diagnosis is based, but its positive rate is not high, ascites lactate determination> 25omg / d1 have diagnostic value. Emphasize the importance of comprehensive analysis at diagnosis.