本文报告1983～1987年我院收治的重型肝炎(重肝)并发自发性腹膜炎23例,虽予敏感抗生素治疗,病死率仍高达100%。提示重肝一旦并发自发性腹膜炎(SBP),预后极恶,即使给予敏感抗生素,对病情的逆转作用似乎不大。关键在于预防:积极治疗原发病(重肝)、合理应用利尿剂和清除肠道细菌的异常繁殖。 This article reports from 1983 to 1987 in our hospital admitted to severe hepatitis (severe liver) complicated by 23 cases of spontaneous peritonitis, although the treatment of sensitive antibiotics, the mortality rate is still as high as 100%. Prompt heavy liver once complicated by spontaneous peritonitis (SBP), the prognosis is extremely bad, even with sensitive antibiotics, the role of the reverse does not seem to be significant. The key is to prevent: active treatment of the primary disease (severe liver), rational use of diuretics and eliminate the abnormal propagation of intestinal bacteria.