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肝硬化合并自发性腹膜炎的治疗分析 被引量:7

Treatment for liver cirrhosis complicated with spontaneous bacterial peritonitis
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摘要 目的分析并总结肝硬化合并自发性腹膜炎的治疗方法。方法收集123例肝硬化合并自发性腹膜炎患者,随机分成观察组(n=63)与对照组(n=60)。观察组先予以广谱抗生素治疗,等细菌检测结果出来后立即换用敏感抗生素;对照组予以左氧氟沙星静脉滴注治疗。治疗结束后评价各组的临床疗效。结果观察组有效率93.65%,对照组有效率66.67%,两组相比,差异具有统计学意义(P<0.05)。结论肝硬化合并自发性腹膜炎的治疗应合理选择抗生素,先予以广谱抗生素治疗,等细菌检测结果出来后立即换用敏感抗生素,该原则行之有效,值得临床推广与应用。 Objective To analyze the treatment method for liver cirrhosis complicated with spontaneous bacterial peritonitis.MethodsTotally 123 patients with liver cirrhosis complicated with spontaneous bacterial peritonitis were randomly divided into observation group(n=63) and control group(n=60).Broad-spectrum antibiotics was applied in observation grouop firstly,following the sensitive antibiotics after knowing the bacteria testing results while levofloxacin tablets by intravenous drip was employed in control group.The clinical efficacy between the two groups was compared after the therapy finished.Results The effective rates of control group and observation group were 66.67% and 93.65% respectively,marked differences between the two groups were observed,P0.05.Conclusion Giving broad-spectrum antibiotics firstly,then changing to sensitive antibiotics after knowing the bacteria testing results is a practical method in treating liver cirrhosis complicated with spontaneous bacterial peritonitis in clinics.
出处 《局解手术学杂志》 2011年第5期518-519,共2页 Journal of Regional Anatomy and Operative Surgery
关键词 肝硬化 自发性腹膜炎 治疗 liver cirrhosis spontaneous bacterial peritonitis treatment.
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