Nursing cirrhosis with spontaneous bacterial peritonitis.doc

 PAGE \* MERGEFORMAT 9 Nursing cirrhosis with spontaneous bacterial peritonitis [Abstract] Objective To summarize the cirrhosis of nursing experience spontaneous bacterial peritonitis. Methods 150 patients with spontaneous bacterial peritonitis in patients with cirrhosis of the nursing data for analysis. Results 150 patients through careful treatment and care, cured 80 cases, accounting for 53%; improvement in 20 cases, accounting for 13%; 45 deaths, accounting for 30%; automatically discharged in 5 cases. Conclusion disease in patients with SBP complex, critical, if early diagnosis, through close observation of changes in condition, so that timely treatment and careful nursing, will be able to improve the cure rate, mortality reduction, to maximize the patient’s life saved. [Keywords:] liver cirrhosis; peritonitis; Care Spontaneous bacterial peritonitis (spontaneous bacterial peritonitis, SBP) in patients with cirrhosis with ascites common serious complication rate as high as 10% to 30% [1], which is significantly lower immune function in patients with cirrhosis, especially in the liver reticuloendothelial system severely damaged, macrophage phagocytosis, and leukocyte adhesion and phagocytosis of chemokines and decreased cause-related. In the course of treatment, care work is an important part of their, now I Division from 2001 to 2004 treated 150 patients with SBP of nursing experience, the report is as follows. A clinical data 1.1 General information on 150 patients in this group, the male 118 cases, female 32 cases, male to female ratio of 3.7:1. Age of onset of 23 to 69-year-old, with an average 46-year-old, 40 to 65 years old in 110 cases, accounting for 73%, indicating SBP in patients with cirrhosis and older, with mainly middle-aged. 1.2 clinical manifestations of 150 150 cases in this group the majority of fever, abdominal pain, abdominal tenderness and rebound tenderness of the SBP and other typical performance, but the 150 cases in 10 patients