肝硬化腹水合并自发性细菌性腹膜炎患者临床特征与血清指标分析

doi:10.3969/j.issn.1001-8131.2022.03.018

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Abstract Objective To analyze the clinical features and serum indicators of patients with hepatocirrhosis ascites complicated with spontaneous bacterial peritonitis（SBP）.Methods The clinical data of 91 cases of patients with hepatocirrhosis ascites and SBP treated were analyzed retrospectively.The clinical features,laboratory test results and etiological findings were analyzed.After receiving liver protection,diuresis and other treatments,the changes of serum indicators were observed.Results The clinical symptoms were mainly elevated body temperature,abdominal distension and abdominal pain,with a few cases of abdominal muscle tension and rebound pain.Peripheral blood examination showed 47 cases of white blood cell（WBC）increase and 66 cases of polymorphonuclear（PMN）increase.Ascites examination showed there were 70 cases of increased WBC in ascites and 68 cases of increased PMN.Etiological examination showed there were 36 cases of positive bacterial culture and a total of 38 pathogenic bacteria were detected,including 13 Gram-positive bacteria and 25 Gram-negative bacteria.After treatment,the levels of serum alanine aminotransferase（ALT）,total bile acid（TBA）,serum complement C3 and C4 were improved compared to before treatment（P<0.05）.Conclusion The main clinical manifestations of patients with hepatocirrhosis ascites complicated with SBP include elevated body temperature,abdominal distension and abdominal pain.The laboratory test shows that the WBC and PMN in peripheral blood and ascites are significantly increased,and the main infection flora is Gram-positive bacteria,and it can effectively improve the abnormal serum indicators after receiving relevant treatment.

Key words： Hepatocirrhosis ascites Spontaneous bacterial peritonitis Serology Clinical features Etiology

Received: 20 December 2020

PACS:

R575.2

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	Zhao Qiang

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Zhao Qiang. Analysis of Clinical Features and Serum Indicators of Patients With Hepatocirrhosis Ascites Complicated With Spontaneous Bacterial Peritonitis[J]. journal1, 2022, 42(3): 44-46.

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http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2022.03.018 OR http://www.hrbyybjb.org.cn/EN/Y2022/V42/I3/44

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