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[肝硬化腹水患者自发性细菌性腹膜炎的诊断要点]

[Diagnostic aspects of spontaneous bacterial peritonitis in hepatic cirrhosis with ascites].

作者信息

Breda A, Gidoni Guarnieri G L, Moretto F, Freschi P, Pace M, Sanzuol F, Maccioni A

机构信息

Ospedale-Conegliano Veneto (Treviso), Divisione di Medicina.

出版信息

Minerva Gastroenterol Dietol. 1995 Sep;41(3):227-30.

PMID:8519861
Abstract

Spontaneous bacterial peritonitis (SBP) is a severe complication appearing in 8-22% of hepatic cirrhosis with ascitic decompensation. The authors describe 6 cases of SBP in hepatic cirrhosis. SBP diagnosis has been confirmed by isolation of the aetiological agents in the ascitic fluid, and PMN count above 250/ml in 12% of the studies cases. SBP diffusion and the high mortality risk justify the examine of the ascitic fluid also in asymptomatic patients.

摘要

自发性细菌性腹膜炎(SBP)是肝硬化腹水失代偿患者中8%-22%会出现的一种严重并发症。作者描述了6例肝硬化合并SBP的病例。通过在腹水液中分离出病原体以及在12%的研究病例中PMN计数高于250/ml,确诊为SBP。SBP的扩散以及高死亡风险证明即使是无症状患者也应对腹水进行检查。

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