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[肝硬化期间的自发性细菌性腹膜炎:临床发现与治疗考量]

[Spontaneous bacterial peritonitis during liver cirrhosis: the clinical findings and therapeutic considerations].

作者信息

Fiaccadori F, Pedretti G

机构信息

Cattedra di Malattie Infettive, Università degli Studi di Parma.

出版信息

Ann Ital Med Int. 1993 Jan-Mar;8(1):13-7.

PMID:8485003
Abstract

Among 1211 consecutive patients admitted to hospital for liver cirrhosis, 625 (51.6%) had ascites. Forty-four of them (7%) had ascitic infection. Thirty-four cases (5.4%) of spontaneous bacterial peritonitis (SBP) and 10 cases (1.6%) of culture-negative neutrocytic ascites (CNNA) were diagnosed. The infecting organism was most likely Gram-negative of enteric origin (80%), CNNA mortality (30%) was lower than that of SBP (47%). High mortality suggests to treat patients affected by either SBP or CNNA with antibiotics.

摘要

在1211例因肝硬化入院的连续患者中,625例(51.6%)有腹水。其中44例(7%)发生腹水感染。诊断出34例(5.4%)自发性细菌性腹膜炎(SBP)和10例(1.6%)培养阴性中性粒细胞性腹水(CNNA)。感染菌最可能是肠道来源的革兰氏阴性菌(80%),CNNA的死亡率(30%)低于SBP(47%)。高死亡率提示应对SBP或CNNA患者使用抗生素治疗。

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