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肝硬化腹水并自发性细菌性腹膜炎(SBP)者较为常见。本病发生后,腹水持续增长,死亡率在40%以上。为了早期诊断,提高疗效,本文对我院1990~1995年所收治的肝硬化(失代偿)58例合并SBP的诊断及治疗问题作一探讨。 1 一般资料 本组58例肝硬化腹水并SBP患者中,男39例,女19例,男女之比为2.1∶1,年龄为16~79岁,以30~55岁为最多,共31例(53.40%)。 2 讨论 诊断问题:肝硬化并发SBP的诊断标准尚不一致。Boyer认为腹水白细胞计数>0.5×10~9/L,中
Cirrhosis and spontaneous bacterial peritonitis (SBP) are more common. After the disease, ascites continued to grow, the mortality rate of 40% or more. In order to early diagnosis and improve curative effect, this article in our hospital from 1990 to 1995 were treated cirrhosis (decompensation) 58 cases of combined diagnosis and treatment of SBP to make a discussion. 1 General Information The group of 58 cases of liver cirrhosis and SBP patients, 39 males and 19 females, male to female ratio was 2.1: 1, aged 16 to 79 years old, 30 to 55 years of age for the most, a total of 31 cases 53.40%). 2 Discussion Diagnostic problems: The diagnostic criteria for cirrhosis complicated with SBP are not the same. Boyer that ascites white blood cell count> 0.5 × 10 ~ 9 / L, in