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原发性细菌性腹膜炎(SBP)是晚期或重症肝病的常见并发症,并发 SBP 后加重原发肝病病情,使其预后更差。本文就其诊断与治疗作一概述。一、SBP 的诊断1.临床诊断典型 SBP 的表现有:(1)全身毒血症状,如发热,更为多见的是原有肝病加重,如出现肝昏迷或肝肾综合征、黄疸加深等,白细胞数增加;(2)腹部表现:①顽固性腹水、腹水呈进行性增多为主要征象;②不同性质和程度的腹痛;③腹膜刺激征,尤以下腹部压痛和反跳痛常见;④肠鸣音减弱为最常见体征。典型 SBP 的诊断不难,但因下列因素影
Primary bacterial peritonitis (SBP) is a common complication of advanced or severe liver disease, complicated with primary liver disease after SBP, making its prognosis worse. This article gives an overview of its diagnosis and treatment. First, the diagnosis of SBP 1. Clinical diagnosis of typical SBP manifestations are: (1) systemic toxemia symptoms, such as fever, more common is the original liver disease increased, such as hepatic coma or hepatorenal syndrome, jaundice deepened , White blood cell count increased; (2) abdomen performance: ① refractory ascites, ascites was progressive increase as the main signs; ② different nature and degree of abdominal pain; ③ peritoneal irritation, especially lower abdominal tenderness and rebound tenderness common; ④ intestinal Weak beeps are the most common signs. The diagnosis of typical SBP is not difficult, but the shadow of the following factors