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Clinical analysis on 145 cases of sever virial hepatitis and cirrhosis complicated with spontaneous bacterial peritonitis
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
- Issue:
- 1
- DOI:
- 10.3760/cma.j.issn.1008-6706.2005.01.003
- Key Word:
- 肝炎,病毒性,人;肝硬化;腹膜炎
Abstract： 目的探讨重型病毒性肝炎和肝硬化并发自发性细菌性腹膜炎(SBP)病原菌种类以及临床特点.方法对145例重型病毒性肝炎和肝硬化并发SBP患者的临床资料进行回顾性分析.结果145例患者中123例(84.8%)腹水多形核白细胞(PMN)比值≥0.50.78例腹水细菌培养阳性(53.8%),共分离细菌82株,包括11种细菌,病原菌以革兰阴性杆菌为主,大肠杆菌40株,为主要致病菌,占48.8%.药敏试验对第三代头孢菌素和第三代氟喹诺酮类药物敏感.结论重型病毒性肝炎和肝硬化并发SBP临床表现大多数不典型,腹水PMN比值是诊断SBP的可靠指标.大肠杆菌为主要致病菌.抗感染治疗首选第三代头孢菌素和第三代氟喹诺酮类药物.
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