肝硬化并发自发性细菌性腹膜炎的治疗体会

Experience inTreatment of Cirrhotic Patients with Spontaneous BacterialPeritonitis

李爱儿

（广州市番禺区化龙医院，广东  广州，511434）

中图分类号：R572.2   文献标识码：A    文章编号：1674-7860(2015)24-0093-02   证型：IDG

【摘  要】目的：探讨肝硬化并发自发性细菌性腹膜炎诊断、治疗方法。方法：收集2011年1月—2014年12月在广州市番禺区化龙医院治疗的SBP患者18例，回顾性分析其临床资料。结果：18例SBP患者腹水蛋白含量≥10g/L者7例，WBC≥10⁶/L者8例，PMN≥0.5者12例。10例腹水样本的细菌学检查结果呈阳性，阳性率为 55.6%，其中大肠埃希菌、肺炎克雷伯杆菌较为常见。治疗后2例痊愈，11例进步，5例无效，治疗有效率72.2%。结论：SBP是肝硬化晚期常见并发症，早期发现和积极治疗是关键。

【关键词】肝硬化；自发性细菌性腹膜炎

【Abstract】Objective: To explore the diagnostic and treatmentmethod for liver cirrhosis with spontaneous bacterial peritonitis (SBP).Methods: The clinical data of 18 patients with SBP in Hualong Hospital of FanyuDistrict in Guangzhou City from January 2011 to December 2014 wereretrospectively analyzed. Results: In the 18 patients, 7 cases’ protein levelwas higher or equal to 10 g/L, 8 cases’ WBC was higher or equal to 10⁶/L,12 cases’ PMN was higher orequal to 0.5. The bacteriologic test of ascites samples taken from 10 casesproduced positive result. The positive rate was 55.6%. The common bacteria wereEscherichia coli and klebsiella pneumoniae. After treatment, 2 cases werecured, 11 cases progressed and 5 cases had no effect. The effective rate was72.2%. Conclusion: SBP is a common complication of advanced cirrhosis. Earlydetection and active treatment is the key.

【Keywords】Liver cirrhosis; Spontaneous bacterial peritonitis

doi:10.3969/j.issn.1674-7860.2015.24.043

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