首页> 中文期刊> 《中国医药导报》 >肝硬化并发自发性细菌性腹膜炎临床分析

肝硬化并发自发性细菌性腹膜炎临床分析

         

摘要

Objective: To assess the clinical features of liver cirrhosis with spontaneous bacterial peritonitis.Methods: Retrospectively analyzed 67 patients of liver cirrhosis with spontaneous bacterial peritonitis in department of Gastroenterol-ogy of our hospital for the past 5 years.Results: 9 cases were cured (58.2%, 39/67), 20 cases were improved (29.8%, 20/67), 8 cases were died (12.0%, 8/67) in 63 patients.The main causes of death were hepatorenal syndrome, followed by upper gastrointestinal bleeding and hepatic encephalopathy.Conclusion: Early diagnosis and treatment is the key to improve survival in the patients of liver cirrhosis with spontaneous bacterial peritonitis.%目的:探讨肝硬化并发自发性细菌性腹膜炎的临床特点,以提高早期诊断率,减少相关危险因素,提高生存率.方法:回顾性分析对我院消化内科近5年住院的肝硬化并发自发性细菌性腹膜炎患者67例的临床资料,总结其临床特点.结果:本组67例中,治愈39例(58.2%,39/67),好转20例(29.8%,20/67),死亡8例(12.0%,8/67),死亡原因主要为肝肾综合征,其次为上消化道出血及肝性脑病.结论:早诊断、早治疗自发性细菌性腹膜炎是提高肝硬化患者生存率的关键.

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