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重症肝炎并发自发性细菌性腹膜炎的临床观察及护理

陈燕 兰天飙 彭隽 杨成 任星峰

实用临床医药杂志2011,Vol.15Issue(4):33-34,37,3.
实用临床医药杂志2011,Vol.15Issue(4):33-34,37,3.

重症肝炎并发自发性细菌性腹膜炎的临床观察及护理

Observation and nursing on spontaneous bacterial peritonitis (SBP)in patients with severe viral hepatitis

陈燕 1兰天飙 1彭隽 1杨成 1任星峰1

作者信息

  • 1. 广州军区武汉总医院,肾病内科,湖北,武汉,430070
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摘要

Abstract

Objectives To explore the effective observation methods and nursing strategies of spontaneous bacterial peritonitis (SBP) in patients with severe viral hepatitis. Methods A retrospective research of 120 cases of SBP associated with severe viral hepatitis was done. Results Clinical manifestations of the patients with SBP were various, which are fever (85.0%, 102/120),bellyache (43.3%, 52/120), and abdominal tenderness (51.6%, 62/120). The induced causes of SBP include infectious diarrhea( 19.2 %, 23/120), upper respiratory tract infection( 15.8%, 19/120), urinary tract infection(4.2%, 5/120), bedsore(1.7%, 2/120), and unknown origin(59.2%, 71/120). Among 120 patients, 30(25% ) were cured or getting better, and 90(75% ) were worsening or of no effect. Conclusions Clinical manifestations of the patients with SBP may be atypical or absent, so the mortality of these patients is high. Therefore, it is important to strengthen observation of state of the patient, prevent infection actively and pay attention to psychological nursing so as to increase viability of the patients with SBP.

关键词

病毒性肝炎/重症肝炎/自发性细菌性腹膜炎/护理

分类

医药卫生

引用本文复制引用

陈燕,兰天飙,彭隽,杨成,任星峰..重症肝炎并发自发性细菌性腹膜炎的临床观察及护理[J].实用临床医药杂志,2011,15(4):33-34,37,3.

实用临床医药杂志

OACSTPCD

1672-2353

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