原发性作腹膜炎.pptVIP

自发性细菌性腹膜炎 民勤县人民医院 赵伯元 定义 自发性细菌性腹膜炎（Spontaneous Bacterial Peritonitis , SBP）指无腹腔脏器穿孔，炎症而发生的腹膜急性细菌性感染，是肝硬化门脉高压的常见并发症之一。典型临床表现为发热、腹痛和腹部压痛，血白细胞增高。 Spontaneous bacterial peritonitis(SBP) is a frequent and severe complication of cirrhotic patients with ascites. Although SBP has been described as occurring in different settings, such as nephrotic syndrome, heart failure; most SBP episodes develop in patients with end stage liver disease as a manifestation of liver failure. Ascitic fluid infection is blood-borne and in 90% of cases is monomicrobial. SBP分三个亚型： 1. 细菌培养阳性+腹水多形核白细胞增加； 2. 细菌培养阴性的白细胞性