135 patients with cirrhosis and spontaneous bacterial peritonitis and nursing clinical observation.docVIP

 PAGE \* MERGEFORMAT 12 135 patients with cirrhosis and spontaneous bacterial peritonitis and nursing clinical observation [Abstract] Objective: To investigate the cirrhosis and spontaneous bacterial peritonitis (SBP) of clinical observation and nursing care. Methods: A retrospective analysis of 135 patients with cirrhosis and SBP measures of clinical observation and nursing care. Results: 111 patients (82.2%) different degrees of fever, abdominal symptoms of bloating, abdominal tension, abdominal pain, diarrhea, abdominal tenderness or rebound tenderness, etc., WBC countgt; = 10.0 109 / L in 29 cases (21.5%), neutrophils gt; 70% of the 86 cases (63.0%), ascites white blood cell countgt; 0.5 109 / L in 61 patients (45.2%), multinucleated cells (PMN)gt; 50% in 78 patients (57.8%), 118 patients with ascites bacterial culture 30 cases positive, the positive rate of 25.4% of .135 patients through comprehensive treatment and care co-cured 40 cases (29.63%), improved in 48 patients (35.56%), invalid, deterioration or automatically discharged from hospital in 47 cases (34.81%), in which death 15 cases. Conclusions The clinical symptoms of cirrhosis is not a typical SBP should strengthen the observation and implementation of effective interventions, effective and timely antibiotic treatment to improve the survival rate. [Keywords:] liver cirrhosis; spontaneous bacterial peritonitis; care Spontaneous bacterial peritonitis (spontaneous bacterial peritonitis, SBP) is common in patients with end-stage liver disease complications, but also led to an important incentive for the original progression of liver disease. Hospitalized patients with liver cirrhosis SBP incidence rate of 8% to 30% [1] Early reported case fatality rate was 90%. In recent years, the efficient use of antibiotics, the mortality decreased from 48% to 57% [2]. our department from June 2003 to June 2009 135 patients admitted with decompensated liver cirrhosis and SBP in patients with clini