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我们采用腹腔灌洗术联合静脉滴入抗生素治疗肝硬化腹水并自发性细菌性腹膜炎65例,取得较好的疗效,现将结果报告如下:1.对象与方法1.1 对象:患者65例,男47例,女18例,年龄27～63岁,平均46.3岁.肝炎后肝硬化34例,酒精性肝硬化21例,原发性胆汁性肝硬化3例,病因不明性肝硬化7例,合并原发性肝癌16例,肝性脑病19例次.1.2 诊断依据:参照全国腹水学术讨论会制订的标准:①有腹痛,发热,腹部压痛、反跳痛等症状体征;②腹水常规检查:白细胞> 300/mm~3,中性粒细胞(PMN)>0.25;③腹水细菌培养阳性.除外腹腔脏器穿孔或破裂引起的急性弥漫性腹膜炎后,若具备其中2项,自发性细菌性腹膜炎的诊断即可确立.
We use peritoneal lavage combined with intravenous antibiotics in the treatment of cirrhosis and spontaneous bacterial peritonitis in 65 cases, and achieved good results, the results are reported as follows: 1. Subjects and methods 1.1 Object: 65 patients, male 47 Cases, 18 females, aged 27 to 63 years old, average 46.3 years.Posthepatitic cirrhosis in 34 cases, alcoholic cirrhosis in 21 cases, primary biliary cirrhosis in 3 cases, etiology of unknown cirrhosis in 7 cases, with the original 16 cases of hepatocellular carcinoma, hepatic encephalopathy in 19 cases .1.2 diagnosis based on: reference to the national ascites academic seminar standards: ① abdominal pain, fever, abdominal tenderness, rebound tenderness and other symptoms and signs; ② Ascites routine examination: white blood cells> 300 / mm ~ 3, neutrophil (PMN)> 0.25; ③ positive bacterial culture of ascites, except for peritoneal perforation or rupture caused by acute diffuse peritonitis, with two of them, the diagnosis of spontaneous bacterial peritonitis Can be established.