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自发性细菌性腹膜炎(Spontaneous bacterial peritonitis,SBP)是肝硬化的严重并发症,易引起肾功能受损,为了减轻SBP对肾脏的损害,我们对SBP采取中西医结合治疗,发现中药对肾脏有一定保护作用,报道如下。1 材料与方法1.1 病例选择 我院1990年3月至1997年3月共收治肝硬化腹水患者561例,有89例伴SBP(15.8％)。其诊断依据是在肝硬化腹水的基础上出现腹膜炎症状,体征及实验室改变。①发热、腹痛及腹部压痛;②腹水多形核细胞≥0.25×10~9/L;③腹水细菌培养阳性;④排除继发性腹膜炎。符合②④或③④作为研究对象,其中72例能坚持在我院接受治疗者被随机分为两组,两组的部分临床资料相似,无统计学差异(见表1)。
Spontaneous bacterial peritonitis (SBP) is a serious complication of liver cirrhosis, easily lead to impaired renal function, in order to reduce SBP damage to the kidneys, SBP we take Integrative Medicine and found that Chinese medicine has a certain kidney Protection, reported as follows. 1 Materials and Methods 1.1 Case Selection Our hospital from March 1990 to March 1997 a total of 561 cases of patients with cirrhosis and ascites, 89 cases with SBP (15.8%). The diagnosis is based on the symptoms of peritonitis, signs and laboratory changes on the basis of cirrhosis and ascites. ① fever, abdominal pain and abdominal tenderness; ② ascites polymorphonuclear cells ≥ 0.25 × 10 ~ 9 / L; ③ ascites bacterial culture positive; ④ exclude secondary peritonitis. In line with ② ④ or ③ ④ as the study object, of which 72 cases can adhere to treatment in our hospital were randomly divided into two groups, part of the clinical data of two groups were similar, with no significant difference (Table 1).