肝硬化失代偿期并发自发性细菌性腹膜炎危险因素分析及治疗

Risk Factors Analysis and Treatment of Spontaneous Bacterial Peritonitis in Decompensated Cirrhosis

摘要: 自发性腹膜炎是肝硬化腹水患者一种常见而严重的并发症，是肝硬化腹水患者死亡的主要原因之一。但其发病机制处于未知，目前认为细菌移位是发病重要环节，其致病菌大多数为肠道菌群，常无腹痛、发热等典型腹膜炎症状，早期诊断是治疗的关键，本文旨在分析肝硬化失代偿期合并自发性细菌性腹膜炎密切相关且容易忽略危险因素及治疗，在临床工作中可以及早发现对患者的潜在威胁因素，对疾病的预防、治疗和预后具有重要意义。

Abstract: Spontaneous peritonitis is a common and serious complication in cirrhotic ascites and is one of the main causes of death in cirrhotic ascites. But its pathogenesis is unknown, now think that the onset of bacterial translocation is the important link, its most for intestinal pathogenic bacteria, often without abdominal pain, fever and other typical symptoms of peritonitis, early diagnosis is the key to the treatment, the purpose of this paper is to analyze cirrhosis of the liver decompensation period is closely related with spontaneous bacterial peritonitis and easy to ignore the risk factors and treatment, In clinical work, the potential threat factors to patients can be found early, which is of great significance to the prevention, treatment and prognosis of diseases.