中国医药导刊
中國醫藥導刊
중국의약도간
Chinese Journal of Medical Guide
2015年
10期
1003-1004,1007
,共3页
肝硬化失代偿%腹水%感染%诊断%治疗%预后%影响因素
肝硬化失代償%腹水%感染%診斷%治療%預後%影響因素
간경화실대상%복수%감염%진단%치료%예후%영향인소
Decompensated cirrhosis%Ascites%Infection%Diagnosis%Treatment%Prognosis%Inlfuencing factors
目的：探讨肝硬化失代偿并发不典型腹水自发性感染的临床诊断、治疗及预后影响因素。方法：从本院2013年2月～2014年2月收治的肝硬化失代偿并发不典型腹水自发性感染患者中随机选择116例进行研究。结果：观察组患者的血清PCT水平较之对照组出现显著上升的情况，经比较差异有统计学意义（P＜0.05）。经治疗，观察组治愈/好转的患者103例，未愈/死亡患者13例。肝肾综合征和消化道出血、肝硬化分级以及肝性脑病对观察组预后影响情况经比较差异均有统计学意义（均P＜0.05）。结论：肝肾综合征和消化道出血、肝硬化分级以及肝性脑病会对肝硬化失代偿并发不典型腹水自发性感染患者的预后产生影响，临床要注意尽早进行诊断和对症治疗以提高预后。
目的：探討肝硬化失代償併髮不典型腹水自髮性感染的臨床診斷、治療及預後影響因素。方法：從本院2013年2月～2014年2月收治的肝硬化失代償併髮不典型腹水自髮性感染患者中隨機選擇116例進行研究。結果：觀察組患者的血清PCT水平較之對照組齣現顯著上升的情況，經比較差異有統計學意義（P＜0.05）。經治療，觀察組治愈/好轉的患者103例，未愈/死亡患者13例。肝腎綜閤徵和消化道齣血、肝硬化分級以及肝性腦病對觀察組預後影響情況經比較差異均有統計學意義（均P＜0.05）。結論：肝腎綜閤徵和消化道齣血、肝硬化分級以及肝性腦病會對肝硬化失代償併髮不典型腹水自髮性感染患者的預後產生影響，臨床要註意儘早進行診斷和對癥治療以提高預後。
목적：탐토간경화실대상병발불전형복수자발성감염적림상진단、치료급예후영향인소。방법：종본원2013년2월～2014년2월수치적간경화실대상병발불전형복수자발성감염환자중수궤선택116례진행연구。결과：관찰조환자적혈청PCT수평교지대조조출현현저상승적정황，경비교차이유통계학의의（P＜0.05）。경치료，관찰조치유/호전적환자103례，미유/사망환자13례。간신종합정화소화도출혈、간경화분급이급간성뇌병대관찰조예후영향정황경비교차이균유통계학의의（균P＜0.05）。결론：간신종합정화소화도출혈、간경화분급이급간성뇌병회대간경화실대상병발불전형복수자발성감염환자적예후산생영향，림상요주의진조진행진단화대증치료이제고예후。
Objective: To explore the clinical diagnosis,treatment and the factors affecting the prognosis of decompensated cirrhosis complicated with atypical ascites of spontaneous infection.Methods:116 cases of patients with decompensated cirrhosis complicated with atypical ascites of spontaneous infection in our hospital from February 2013 to February 2014 were selected.Results:To observe the serum PCT level of patient group than in the control group showed significant increase of the situation,the difference was statistically significant (P<0.05).After the treatment,the observation group cure / improvement of patients with a total of 103 patients,a total of 13 cases of unhealing / death patients.Hepatorenal syndrome and hemorrhage of digestive tract,liver cirrhosis and hepatic encephalopathy grade on the observation group prognostic conditions by comparison the differences were statistically significant (P<0.05).Conclusion:Hepatorenal syndrome and hemorrhage of digestive tract,liver cirrhosis and hepatic encephalopathy grade on decompensated cirrhosis complicated with atypical ascites of spontaneous infection prognosis influence,Clinical attention should be pay to the diagnosis and symptomatic treatment as soon as possible in order to improve the prognosis.
