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肝硬化患者腹水细菌感染的变异型

Variant of Ascitic Fluid Bacterial Infections in Patients of Liver Cirrhosis.

作者信息

Alam Sarker Jahangir, Shahinul Alam Md, Khan Mobin, Mahtab Mamun-Al, Shahed Ashraf Mohammad, Ahmad Khondaker Faiz

机构信息

Department of Hepatology, Shaheed Suhrawardy Medical College, Dhaka, Bangladesh.

Department of Hepatology, Bangabandhu Shiekh Mujib Medical University, Dhaka, Bangladesh.

出版信息

Euroasian J Hepatogastroenterol. 2015 Jul-Dec;5(2):131-133. doi: 10.5005/jp-journals-10018-1152. Epub 2016 Jul 9.

Abstract

BACKGROUND AND AIMS

Bacterial infections of ascitic fluid of cirrhotic patients are related to high morbidity and mortality. The aim of the study was to determine the variants of ascitic fluid bacterial infection in patients with advanced cirrhosis (Child Pugh Class C).

MATERIALS AND METHODS

We analyzed 35 consecutive cirrhotic patients of Child Pugh Class C with ascites attending the outpatient department (OPD) of Hepatology Department, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh from January 2008 to December 2009. Clinical and laboratory parameters of these patients were recorded.

RESULTS

Among the total 35 patients, eight patients were symptomatic and 27 patients were asymptomatic. Out of eight symptomatic patients, two had ascitic fluid bacterial infection (25%), whereas six of 27 asymptomatic patients (22.2%) had ascitic fluid bacterial infection.

CONCLUSION

Bacterial infection should always be considered in patients with ascites with liver cirrhosis irrespective of their symptoms.

HOW TO CITE THIS ARTICLE

Sarker JA, Alam MS, Khan M, Mahtab MA, Ashraf MS, Khondaker FA. Variant of Ascitic Fluid Bacterial Infections in Patients of Liver Cirrhosis. Euroasian J Hepato-Gastro-enterol 2015;5(2):131-133.

摘要

背景与目的

肝硬化患者腹水的细菌感染与高发病率和死亡率相关。本研究的目的是确定晚期肝硬化(Child-Pugh C级)患者腹水细菌感染的类型。

材料与方法

我们分析了2008年1月至2009年12月期间在孟加拉国达卡班加班德谢赫穆吉布医科大学肝病科门诊就诊的35例连续的Child-Pugh C级肝硬化腹水患者。记录了这些患者的临床和实验室参数。

结果

在总共35例患者中,8例有症状,27例无症状。在8例有症状的患者中,2例有腹水细菌感染(25%),而27例无症状患者中有6例(22.2%)有腹水细菌感染。

结论

无论有无症状,肝硬化腹水患者都应始终考虑细菌感染。

如何引用本文

Sarker JA, Alam MS, Khan M, Mahtab MA, Ashraf MS, Khondaker FA. 肝硬化患者腹水细菌感染的类型。《欧亚肝脏胃肠病学杂志》2015;5(2):131-133。

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