原发性腹膜炎,国外称自发性腹膜炎(SBP),是除空腔脏器穿孔外发生的急性细菌性腹膜感染。它是肝硬化和重症肝炎的严重并发症之一,仅发生于伴有腹水患者,故又称腹水感染。肝病并发本症后加重肝脏病变,病死率增加,且近年来资料显示其发生率有所增加,应予以重视,本文复习国内外有关文献,综述如下。一、发病机理1.细菌穿透肠壁,直接进入腹水;2.细菌先进入 Primary peritonitis, foreign spontaneous peritonitis (SBP), is an acute bacterial peritoneal infection that occurs in addition to perforation of hollow organs. It is one of the serious complications of cirrhosis and severe hepatitis, occurring only in patients with ascites, it is also known as ascites infection. Liver disease complicated with liver disease after exacerbations, mortality increased, and in recent years the data show that the incidence has increased, we should pay attention to this article review the relevant literature at home and abroad, are summarized below. First, the pathogenesis 1. Bacteria penetrate the intestinal wall, directly into the ascites; 2. Bacteria first into