杜密克 肝性脑病诊治文档.pptVIP

自发性腹膜炎 SPONTANEOUS BACTERIAL PERITONITIS(SBP) ? SBP, an infection of ascitic fluid typically with a single bacterial species in the absence of any other primary intraabdominal source. ? 肝硬化患者最具特征的严重感染。 ? 23% of all cirrhotic patients with ascites admitted to hospital. SBP ? Over 70% of cases with SBP occur in those classi ? ed as Child-Pugh C. ? Gastrointestinal haemorrhage is another important precipitant of SBP . ? Bacteraemia and/or SBP, typically with Gram- negative enteric-type ? ora, develop within 48 hours of gastrointes