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1974年,Leveen等介绍了用一单向瓣膜导管连接腹膜与上腔静脉或其分支的腹水持续引流法,用于治疗难治性腹水和/或肝肾综合征。本文报告6例分流术后腹膜炎病人在细菌学、转归,以及治疗上的特征。结果 6例病人均因难治性腹水行腹膜-静脉分流术,术后10天～15个月出现腹膜炎;其中3例出现在术后2个月内。6例中男性5例,年龄43～64岁(平均53.3岁)。Laennec氏肝硬化5例,原发性胆汁性肝硬化1例。最常见的症状有发热4例,精神状态转差4例,腹水增加3例。仅1例有腹痛,无1例有压痛,这与无分流的自发性腹膜炎不同。
In 1974, Leveen et al. Described the use of a one-way valve catheter to connect the peritoneal and superior vena cava or its branches ascitic fluid drainage method for the treatment of refractory ascites and / or hepatorenal syndrome. This article reports on the 6 patients with peritonitis after shunt bacteriology, prognosis, and treatment characteristics. Results All 6 patients underwent peritoneal-venous shunt due to refractory ascites. Peritonitis occurred within 10 days to 15 months after surgery. Three cases occurred within 2 months after operation. 6 males in 5 cases, aged 43 to 64 years (mean 53.3 years). Laennec cirrhosis in 5 cases, 1 case of primary biliary cirrhosis. The most common symptoms were fever in 4 cases, mental status in 4 cases, ascites increased in 3 cases. Only 1 patient had abdominal pain and none had tenderness, which was different from spontaneous peritonitis without shunting.