尽管传统上将肝硬化患者的自发性腹膜炎(SBP)看作是促使肾衰的一种因素,但缺乏专门研究报道。本文回顾性研究肝硬化病人252次SBP发作后肾损伤(SBP-RI)的发生率、临床过程、预测因素及预后。 病人及方法 在剔除SBP后存活期<48h、SBP前无肾功能资料及其他有损肾功能因素者后,分析余下197例肝硬化者相继发生的252次SBP发作。SBP的诊断根据腹水 Although spontaneous peritonitis (SBP) in cirrhotic patients has traditionally been seen as a contributing factor to renal failure, no specific study has been reported. This paper retrospectively studied the incidence, clinical course, predictors and prognosis of renal injury (SBP-RI) after 252 episodes of SBP in cirrhotic patients. Patients and Methods 252 consecutive episodes of SBP were analyzed in the remaining 197 patients with cirrhosis after a median survival time of 48 h excluding SBP, no renal function data prior to SBP, and other factors that compromised renal function. The diagnosis of SBP is based on ascites