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肝硬化并自发性腹膜炎据国内外报道占肝硬化3～30%。晚期肝硬化本来预后不佳,一旦合并腹膜炎,预后极其凶险,可导致中毒性休克、肝昏迷、肝肾综合征等,死亡率达80～95%,是肝硬化死亡的主要原因之一。肝硬化并自发性腹膜炎推测与下列因素有关:(1)肝硬化患者易发生菌血症或败血症,经血行引起腹膜炎。据 Martini 等研究指出,正常人除回肠可有少数细菌外,其他小肠均阴性,而肝硬化肠道细菌分布异常,发现回肠空肠及十二指肠皆有大肠杆
Cirrhosis and spontaneous peritonitis According to reports at home and abroad accounted for cirrhosis 3 to 30%. Late liver cirrhosis had a poor prognosis, once the combination of peritonitis, the prognosis is extremely dangerous, can lead to toxic shock, hepatic coma, liver and kidney syndrome, the mortality rate of 80 to 95%, is one of the main causes of death from cirrhosis. Cirrhosis and spontaneous peritonitis speculated that the following factors: (1) cirrhosis prone to bacteremia or sepsis, peritonitis caused by blood line. According to Martini and other studies pointed out that in addition to the normal ileum may have a few bacteria, the other small intestine were negative, and cirrhosis of the intestinal bacteria distribution is abnormal and found that ileum jejunum and duodenum are large intestine