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肝硬化腹水并发自发性腹膜炎(SBP)是肝硬化晚期的严重并发症和重要致死原因之一。本文对贵州八所医院内科1976年1月至1986年12月所收治的64例 SBP 患者加以分析。临床资料本组病例诊断的依据是:①有腹腔感染的症状和体征,如发热、腹痛、腹部压痛、反跳痛等,而无腹腔原发感染灶可寻者;②腹水常规检验:白细胞>0.3×10~9/L(300/mm~3),多形核白细胞(PMN)>25%;③腹水细菌培养或涂片检查细菌阳性。具备上述任何两项者诊断即可成立。本组84例中男49例,女15
Cirrhotic ascites complicated by spontaneous peritonitis (SBP) is a serious complication and one of the important causes of death in the advanced stage of liver cirrhosis. In this paper, 64 SBP patients admitted to our hospital from January 1976 to December 1986 were analyzed. Clinical data The diagnosis of this group of patients is based on the following: ① signs and symptoms of abdominal infection, such as fever, abdominal pain, abdominal tenderness, rebound tenderness, etc., without primary abdominal infection can be found; ② Ascites routine test: white blood cells> 0.3 × 10 ~ 9 / L (300 / mm ~ 3), polymorphonuclear leukocytes (PMN)> 25%; ③ bacterial culture or smear ascites bacterial positive. With any of the two diagnosis can be established. The group of 84 patients, 49 males and 15 females