现代医药卫生2026，Vol.42Issue(1)：183-188,6.DOI:10.3969/j.issn.1009-5519.2026.01.034
肝硬化并发自发性细菌性脓胸诊疗进展
Progress in diagnosis and treatment of liver cirrhosis complicated with spontaneous bacterial empyema
徐佳瑶 1张浩1
作者信息
- 1. 重庆医科大学附属第二医院,重庆 400072
- 折叠
摘要
Abstract
Hepatic pleural effusion combined with spontaneous bacterial empyema is a serious compli-cation in patients with decompensated cirrhosis.Its clinical features overlap with empyema secondary to pneu-monia,and the limited application of thoracentesis often leads to delayed diagnosis and insufficient treatment.At present,the treatment is based on empirical anti-infection,combined with salt restriction,diuresis and albu-min infusion.Complex and refractory patients need thoracic drainage or liver transplantation.At present,clini-cal practice faces challenges such as blurred diagnosis,rising infection rate of drug-resistant bacteria and high incidence of multiple organ failure.In the future,it is urgent to strengthen research in related fields to achieve early intervention and treatment strategy optimization of spontaneous bacterial empyema,so as to improve the prognosis of patients.关键词
肝硬化/自发性细菌性脓胸/诊断/治疗/综述Key words
Liver cirrhosis/Spontaneous bacterial empyema/Diagnosis/Treatment/Review分类
医药卫生引用本文复制引用
徐佳瑶,张浩..肝硬化并发自发性细菌性脓胸诊疗进展[J].现代医药卫生,2026,42(1):183-188,6.
