Clinical features and treatment of spontaneous bacterial peritonitis in patients with liver failure
Tan Hui-ying;Zhenjiang Third People's Hospital;
Objective To analyze the clinical features of patients with liver failure complicated with spontaneous bacterial peritonitis and to explore the treatment. Methods 80 cases of spontaneous bacterial peritonitis in our hospital from February 2012 to October 2016 the method of selecting received cirrhosis were retrospectively analyzed; according to the non to liver failure decompensation as grouping criteria, divided into 2 groups,the control group of 40 cases without liver failure occurred in liver cirrhosis with spontaneous bacterial peritonitis, 40 cases of liver cirrhosis group as the standard for diagnosis of liver failure and biochemical indexes with spontaneous bacterial peritonitis. Observe two groups of patients with ascites cell count, blood and ascites culture. At the same time to give antibiotics for treatment. Results The study group patients with ascites cell count and white blood cell count and neutrophil percentage were higher than those of the control group, and the data had statistical significance(P0.05);Three generations of cephalosporin antibiotics and liver failure combined with spontaneous peritonitis was significantly lower than the effect of quinolone and yamamycin antibiotics, the latter two treatment time compared with the third generation of cephalosporins significantly shorter(P0.05); study group of three generations of cephalosporin sensitivity(P0.05). The rate of PCT 2 was higher than that of the control group(P0.05). The positive rate of ascites culture was higher than that of the control group. Conclusion Patients with liver failure complicated by spontaneous peritonitis had a higher infection rate and lower positive rate of ascites culture. Quinolone antibiotics and Ya'anbenan were more effective, and the sensitivity to third-generation cephalosporin treatment was lower.
【CateGory Index】： R572.2;R575.3