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首页> 外文期刊>Scandinavian journal of infectious diseases. >Tuberculous peritonitis in cirrhotic patients: comparison of spontaneous bacterial peritonitis caused by Escherichia coli with tuberculous peritonitis.
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Tuberculous peritonitis in cirrhotic patients: comparison of spontaneous bacterial peritonitis caused by Escherichia coli with tuberculous peritonitis.

机译：肝硬化患者的结核性腹膜炎：由大肠杆菌引起的自发性细菌性腹膜炎与结核性腹膜炎的比较。

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摘要

The aim of this study was to compare the characteristics of tuberculous peritonitis (TP) and spontaneous bacterial peritonitis (SBP) in cirrhotic patients. In a retrospective review of the medical records of a single tertiary hospital between 1988 and 2006, 15 patients met the diagnostic criteria TP and liver cirrhosis. For comparison, we randomly selected 3 cirrhotic patients with SBP caused by Escherichia coli for each cirrhotic patient with TP. Compared to SBP, TP in cirrhotic patients was more frequently associated with extra-peritoneal tuberculosis (TP vs SBP: 53.3% vs 0%), an insidious onset (> or =2 weeks; 60% vs 2.2%), and Child-Pugh classification class B at onset (80% vs 8.9%) (p<0.05). Compared to SBP, TP was associated with lower white blood cell count in ascites (TP vs SBP: 2.0+/-2.2 x 10(3)/mm(3) vs 7.2+/-7.5 x 10(3)/mm(3)), a higher proportion of mononuclear leukocytes (lymphocytes and monocytes) in ascites (88.9+/-9.5% vs 16.6+/-15.3%), higher protein concentration in ascites (3.1+/-1.7 g/dl vs 1.2+/-0.3 g/dl), and higher adenosine deaminase activity in ascites (62.3+/-31.8 U/l vs 6.9+/-3.1 U/l) (p<0.05). TP should be suspected in cirrhotic patients with relevant clinical manifestations and characteristics of ascites.
机译：这项研究的目的是比较肝硬化患者的结核性腹膜炎（TP）和自发性细菌性腹膜炎（SBP）的特征。在对1988年至2006年间一家三级医院的病历进行回顾性审查中，有15名患者符合TP和肝硬化的诊断标准。为了进行比较，我们为每位TP肝硬化患者随机选择了3例由大肠杆菌引起的SBP肝硬化患者。与SBP相比，肝硬化患者的TP与腹膜外结核更常见（TP vs SBP：53.3％vs 0％），隐匿性发作（>或= 2周; 60％vs 2.2％）和Child-Pugh发病时分类为B级（80％vs 8.9％）（p <0.05）。与SBP相比，TP与腹水中白细胞计数较低相关（TP vs SBP：2.0 +/- 2.2 x 10（3）/ mm（3）与7.2 +/- 7.5 x 10（3）/ mm（3） ）），腹水中单核白细胞（淋巴细胞和单核细胞）的比例更高（88.9 +/- 9.5％对16.6 +/- 15.3％），腹水中蛋白质浓度更高（3.1 +/- 1.7 g / dl对1.2 + / -0.3 g / dl）和更高的腹水腺苷脱氨酶活性（62.3 +/- 31.8 U / l与6.9 +/- 3.1 U / l）（p <0.05）。具有相关临床表现和腹水特征的肝硬化患者应怀疑TP。

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