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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Teaching Points: Appropriate Evaluation of Ascitic Fluid in the Acutely Ill Cirrhotic Patient
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Teaching Points: Appropriate Evaluation of Ascitic Fluid in the Acutely Ill Cirrhotic Patient

机译:教学要点:对急性病性肝硬化患者腹水的适当评估

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Spontaneous Bacterial Peritonitis (SBP) is a serious and dangerous complication of cirrhosis with portal hypertension. Promptdiagnosis mandates paracentesis with appropriate handling and evaluation of ascitic ?uid obtained. A 37-year-old female withcirrhosis and portal hypertension, with a history of SBP, presented with abdominal pain and encephalopathy. With medicalmanagement the encephalopathy cleared and the patient was able to return home. The presented clinical scenario provides valuableteaching insight into the need to appropriately evaluate such a patient with the mandate to diagnose spontaneous peritonitispromptly. Timely evaluation and appropriate management offers clinicians an opportunity to reduce morbidity and mortality inpatients with advanced liver disease.
机译:自发性细菌性腹膜炎(SBP)是肝硬化合并门脉高压的严重而危险的并发症。及时诊断要求穿刺穿刺,并适当处理和评估所获得的腹水。一位37岁的女性肝硬化和门静脉高压症,有SBP病史,伴有腹痛和脑病。通过医疗管理,脑病得以清除,患者得以回家。提出的临床方案提供了宝贵的教学见解,可帮助您正确评估此类患者,以迅速诊断自发性腹膜炎。及时的评估和适当的管理为临床医生提供了减少晚期肝病住院患者的发病率和死亡率的机会。

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