Clinic Study Of The Dangerous Factors For The Hepatocirrhosis Ascites With Spontaneous Bacillary Peritonitis

Objective: Bacterium type,clinic character and prognosis of hepatocirrhosis ascites with spontaneous bacillary peritonitis (SBP) were discussed in this study.Methods: 115 cases of hepatocirrhosis ascites patients who were in yanbian hospital in near five years were collected .divided group A that had hepatocirrhosis ascites with spontaneous bacillary peritonitis and group B that had hepatocirrhosis ascites without spontaneous bacillary peritonitis, clinic symptom of patients, general test including blood and liver function and general test of ascites including ascites bacteria culture and drug sensitivity experiment were recorded ,we made statistics analysis to every data.Result:Frequency of hepatocirrhosis ascites with spontaneous bacillary peritonitis in the patients who have high serum bilirubin(>51.3μmol/L) was higher than that who have low (≤51.3μmol/L)(p<0.05); Frequency of hepatocirrhosis ascites with spontaneous bacillary peritonitis in the patients that ascites albumin was low ( ≤10 g/L) was higher than that ascites albumin was high(≤10g/L) (p<0.05);the ratio of polynucleus in group A was ≥0.50 (PMN≥0.50); positive rate of ascites bacteria culture was 23.21%, there was 10 kinds bacteria in 42 strains that were isolated from patients, Escherichia coli was the most (42.86%).Conclusion: High serum bilirubin ,low albumin of ascites and PMN of ascites were dangerous factors of hepatocirrhosis ascites with spontaneous bacillary peritonitis, and it may be a experiment index in forepart diagnosing and treating hepatocirrhosis ascites with spontaneous bacillary peritonitis.