论文部分内容阅读
肝炎后肝硬化合并原发性腹膜炎(PBP)者日渐增多,PBP发生后常使肝病迅速加重,导致肝昏迷、感染性休克、肝肾综合症和消化道出血等.病死率高达60～80%,早期诊断PBP、综合治疗是提高存活率的关键.1 临床资料1.1 一般资料 男87例,女16例,年龄20～40岁47例,41～50岁38例,51～60岁11例,61～76岁7例,患病年龄以中青年为主.1.2 症状与体征 发热<,37℃44例,38～38,5℃31例,38.6～39℃17例,>39℃11例.恶心32例,呕吐27例,腹痛45例,腹胀59例,腹部压痛53例,反跳痛40例,肌紧张及板状腹11例.本组无腹痛又无压痛与反跳痛者12例,可能与大量腹水有关.
Hepatitis cirrhosis with primary peritonitis (PBP) are increasing, PBP often make the liver disease rapidly aggravated, leading to hepatic coma, septic shock, hepatorenal syndrome and gastrointestinal bleeding, etc. The mortality rate as high as 60 to 80% , Early diagnosis of PBP, comprehensive treatment is to improve the survival rate of the key.1 Clinical data 1.1 General information Male 87 cases, 16 females, aged 20 to 40 years in 47 cases, 41 to 50 years in 38 cases, 51 to 60 years in 11 cases, 61 to 76 years old in 7 cases, the prevalence of age to young and middle-aged .1.2 symptoms and signs of fever, 37 cases of 44 cases, 38 to 38,5 ℃ in 31 cases, 38.6 ~ 39 ℃ in 17 cases,> 39 ℃ in 11 cases. Nausea in 32 cases, vomiting in 27 cases, abdominal pain in 45 cases, abdominal distension in 59 cases, abdominal tenderness in 53 cases, rebound tenderness in 40 cases, muscle tension and flat belly in 11 cases .There was no abdominal pain in patients with tenderness and rebound tenderness in 12 cases , May be related to a large number of ascites.