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肝硬变患者容易并发细菌感染,其中自发性腹膜炎最为常见。国内报告,合并急性腹膜炎或腹水感染者,有3.1-7.3-10-30%不等,合并结核性腹膜炎者亦达5.5%。因其常与菌血症并发,引起一系列症状和体征,故国外有人称为“综合征”。临床症状可以不典型、不显著,因而容易被忽略而漏诊。但其预后多较凶险,可导致低血压、中毒性休克、肾功衰竭、肝昏迷等并每致死亡,孟宪镛等报告21例,其中14例于治疗1—5天后死亡;尤大钰等报告34例,其中30例于感染后平均33天内死亡。另外,有报告认为该症对抗菌素的反应良好。因此有必要提高对这一并发症的认识和警惕,以期早期发现,及时治疗。
Patients with cirrhosis complicated by bacterial infection, of which the most common spontaneous peritonitis. Domestic reports, with acute peritonitis or ascites infection, 3.1-7.3-10-30% range, with tuberculous peritonitis also reached 5.5%. Because of its often associated with bacteremia, causing a series of symptoms and signs, so some people abroad called “syndrome.” Clinical symptoms can be atypical, insignificant, and therefore easily overlooked and missed. However, its prognosis and more dangerous, can lead to hypotension, toxic shock, renal failure, hepatic coma and each cause death, Meng Xian 镛 reported 21 cases, of which 14 cases died after treatment 1-5 days; You Yu and other reports Thirty-four patients, 30 of whom died within an average of 33 days after infection. In addition, there are reports that the disease response to antibiotics good. Therefore, it is necessary to raise awareness of this complication and vigilance, with a view to early detection and timely treatment.