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多菌性腹水。感染性腹水范畴中的一种独特实体。

Polymicrobial bacterascites. A unique entity in the spectrum of infected ascitic fluid.

作者信息

Runyon B A, Hoefs J C, Canawati H N

出版信息

Arch Intern Med. 1986 Nov;146(11):2173-5. doi: 10.1001/archinte.146.11.2173.

DOI:10.1001/archinte.146.11.2173
PMID:3778046
Abstract

A retrospective analysis of 1578 abdominal paracenteses revealed ten cases of polymicrobial bacterascites, ie, growth of multiple organisms in ascitic fluid with a neutrophil count less than 250 cells/cu mm. Six of the ten paracenteses that documented this condition were traumatic (bloody or producing feculent material). Clinical peritonitis developed in only one patient. No one died as a result of the infection. Polymicrobial bacterascites is rare (0.6% of paracenteses). It is frequently due to a traumatic paracentesis (bowel entry by the paracentesis needle), and is associated with low morbidity.

摘要

对1578例腹腔穿刺术进行的回顾性分析显示,有10例发生了多微生物细菌性腹水,即腹水中有多种微生物生长,且中性粒细胞计数低于250个/立方毫米。记录到这种情况的10次穿刺术中,有6次是创伤性的(血性或产生粪便样物质)。仅1例患者发生了临床腹膜炎。没有患者因感染死亡。多微生物细菌性腹水很罕见(占穿刺术的0.6%)。它常因创伤性穿刺术(穿刺针进入肠道)引起,且发病率较低。

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1
Polymicrobial bacterascites. A unique entity in the spectrum of infected ascitic fluid.多菌性腹水。感染性腹水范畴中的一种独特实体。
Arch Intern Med. 1986 Nov;146(11):2173-5. doi: 10.1001/archinte.146.11.2173.
2
Does this patient have bacterial peritonitis or portal hypertension? How do I perform a paracentesis and analyze the results?该患者是患有细菌性腹膜炎还是门静脉高压症?我该如何进行腹腔穿刺并分析结果?
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Paracentesis of ascitic fluid. A safe procedure.腹水穿刺。一种安全的操作。
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Spontaneous vs secondary bacterial peritonitis. Differentiation by response of ascitic fluid neutrophil count to antimicrobial therapy.自发性与继发性细菌性腹膜炎。通过腹水中性粒细胞计数对抗菌治疗的反应进行鉴别。
Arch Intern Med. 1986 Aug;146(8):1563-5. doi: 10.1001/archinte.146.8.1563.
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Unsuspected infection is infrequent in asymptomatic outpatients with refractory ascites undergoing therapeutic paracentesis.在接受治疗性腹腔穿刺术的难治性腹水无症状门诊患者中,未被怀疑的感染并不常见。
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Bacterascites: A study of clinical features, microbiological findings, and clinical significance.细菌性腹水:临床特征、微生物学发现及临床意义的研究。
Liver Int. 2018 Dec;38(12):2199-2209. doi: 10.1111/liv.13929. Epub 2018 Aug 10.
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