肝硬化自发性细菌性腹膜炎患者临床特点分析

摘要

目的：了解肝硬化并发自发性细菌性腹膜炎（SBP）的临床特点。方法连续收集2008年1月～2010年12月在惠州市中心人民医院及惠州市第一人民医院住院确诊为肝硬化合并SBP的206例病例。分析其人口学、常见临床指标及预后特点。结果 SBP患者主要仍为乙肝患者，涉及乙型肝炎病毒感染的有138例。腹腔积液培养以革兰阴性菌多见，腹水细菌培养阳性率34%。结论 SBP仍是临床常见肝硬化危重症，仍需强调早诊断、早治疗。%Objective To investigate the clinical characteristics in liver cirrhosis omplicated with spontaneous bacterial peritonitis ( SBP ). Methods 206 cases were diagnosed with liver cirrhosis complicated with SBP from Huizhou First Hospital and HuiZhou Municipal Central Hospital from January 2008 to December 2010 their demographic, clinical characteristics and prognosis of common characteristics were analyzed. Results SBP was still mainly for patients with hepatitis B patients. Hepatitis B virus infection has 138 cases. The results of ascites culture with gram-negative bacteria common,ascites bacterial culture positive rate was 34%. Conclusion SBP is still the common clinical cirrhosis in critically ill patients. It need to early be diagnosed and treated.