CAJ | 학술논문

目的：探讨肝炎肝硬化并自发性细菌性腹膜炎的临床特点以及临床诊治方法。方法回顾性分析本院2010年1月至2013年12月间41例肝炎后肝硬化合并自发性细菌性腹膜炎患者的临床资料。结果41例患者多临床表现不典型，腹水细胞计数和腹水细菌培养作为主要诊断依据，治愈好转35例，死亡6例（Child-Pugh分级B级全部治愈）。结论及时观察临床表现，进行必要的腹水检查，早期明确诊断、针对性的治疗有助于肝炎肝硬化并自发性腹膜炎治疗。
목적：탐토간염간경화병자발성세균성복막염적림상특점이급림상진치방법。방법회고성분석본원2010년1월지2013년12월간41례간염후간경화합병자발성세균성복막염환자적림상자료。결과41례환자다림상표현불전형，복수세포계수화복수세균배양작위주요진단의거，치유호전35례，사망6례（Child-Pugh분급B급전부치유）。결론급시관찰림상표현，진행필요적복수검사，조기명학진단、침대성적치료유조우간염간경화병자발성복막염치료。
Objective To explore the clinical features and clinical method in the treatment of liver cirrhosis with spontaneous bacterial peritonitis. Methods A retrospective analysis of our hospital from January 2010 to December 2013 year 41 cases of liver cirrhosis combined with clinical data of patients with spontaneous bacterial peritonitis. Results 41 cases of patients with atypical clinical manifestations, ascites cell count and ascites bacterial culture as the main basis for diagnosis, 35 cases were cured or improved, 6 cases of death(Child Pugh grade B cured). Conclusion To observe the clinical manifestation, the necessary ascites examination, early diagnosis, targeted therapy is helpful for the treatment of liver cirrhosis with spontaneous bacterial peritonitis.