论文部分内容阅读
目的进一步提高肝硬化合并自发性细菌性腹膜炎的临床诊治水平。方法对86例不典型肝硬化自发性细菌性腹膜炎患者腹水常规检查、细菌培养及脱落细胞病理检测、治疗及转归进行分析。结果不典型肝硬化自发性细菌性腹膜炎的腹水脱落细胞检查可以判断有无细菌感染。腹水细菌培养阳性率低,以大肠杆菌占多数;致病菌对多数常用抗生素有耐药性,但对亚胺培南及万古霉素几乎不耐药。结论结合病理脱落细胞学检查,可以早期诊断不典型肝硬化自发性细菌性腹膜炎。结合细菌培养早期治疗,可获得良好的临床诊疗效果。
Objective To further improve the clinical diagnosis and treatment of cirrhosis with spontaneous bacterial peritonitis. Methods 86 cases of atypical cirrhosis patients with spontaneous bacterial peritonitis ascites routine examination, bacterial culture and exfoliative cells pathological examination, treatment and prognosis were analyzed. Results of atypical cirrhosis spontaneous bacterial peritonitis ascites exfoliative cells can determine the presence of bacterial infection. The positive rate of bacterial culture in ascites was low, with Escherichia coli accounting for the majority; pathogens were resistant to the most commonly used antibiotics, but almost no resistance to imipenem and vancomycin. Conclusions Combined with pathological exfoliative cytology, we can diagnose spontaneous bacterial peritonitis in atypical cirrhosis early. Combined with bacterial culture early treatment, access to good clinical diagnosis and treatment.