原发性腹膜炎.pptxVIP

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腹水（culture-neg