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目的探讨肝硬化腹水患者并发自发性细菌性腹膜炎(SBP)的临床特点、诊断及治疗。方法回顾性分析38例肝硬化腹水并发SBP患者的临床资料。结果 38例患者有典型临床表现者15例((39.5%);腹水细胞数符合诊断者(PMN≥0.25×109/L)30例(78.9%),治疗选用头孢噻肟等三代头孢菌素总有效率70%。结论肝硬化并发SBP临床表现复杂多样,不典型,诊断应结合临床体征、腹水常规、外周血常规等综合考虑。早期诊断及使用头孢噻肟等三代头孢可提高SBP生存率。
Objective To investigate the clinical features, diagnosis and treatment of spontaneous bacterial peritonitis (SBP) in patients with cirrhosis and ascites. Methods The clinical data of 38 patients with cirrhotic ascites complicated with SBP were retrospectively analyzed. Results 38 patients had typical clinical manifestations in 15 cases (39.5%); ascites cells in line with the diagnosis of (PMN ≥ 0.25 × 109 / L) in 30 cases (78.9%), the choice of cefotaxime third-generation cephalosporins total With an effective rate of 70% .Conclusion The clinical manifestations of liver cirrhosis complicated with SBP are complex and atypical, and the diagnosis should be combined with clinical signs, ascites routine, peripheral blood routine, etc. Early diagnosis and use of third generation cefotaxime such as cefotaxime can improve SBP survival rate.