World J Gastroenterol. 2009 Dec 7;15(45):5754-5. doi: 10.3748/wjg.15.5754.
Spontaneous bacterial peritonitis (SBP) is a treatable complication of decompensated cirrhosis. Coagulopathy with evidence of hyperfibrinolysis or clinically evident disseminated intravascular coagulation precludes paracentesis. Alcoholic hepatitis with fever, leucocytosis and abdominal pain should be evaluated for SBP. Oral ofloxacin is as effective as parenteral cefotaxime in treatment of SBP except for inpatients with vomiting, encephalopathy, or renal failure. Albumin is superior to hydroxyethyl starch in treatment of SBP.
自发性细菌性腹膜炎 (SBP) 是失代偿性肝硬化的一种可治疗的并发症。有证据表明存在纤维蛋白溶解亢进或临床明显弥散性血管内凝血的凝血功能障碍排除了腹腔穿刺术。发热、白细胞增多和腹痛的酒精性肝炎应评估是否存在 SBP。口服氧氟沙星与静脉注射头孢噻肟在治疗 SBP 方面同样有效，除了那些有呕吐、肝性脑病或肾衰竭的住院患者。白蛋白在治疗 SBP 方面优于羟乙基淀粉。
