TREATMENT OF CIRRHOTIC ASCITES COMPLICATED WITH PRIMARY PERITONITIS: ANALYSIS OF 55 CASES

VernacularTitle:肝硬变腹水并发原发性腹膜炎的治疗
Author: Dadong YOU ; Jiapei YAO ; Lingxia ZHANG ; Deyong CHEN
Publication Type:Journal Article
From: Medical Journal of Chinese People's Liberation Army 1983;0(02):-
CountryChina
Language:Chinese
Abstract: Fifty-five cases of cirrhotic ascites complicated with primary peritonitis were treated and analysed clinically. The results showed that high fever and diarrhea were common and severe, and the positive rate of the ascitic culture, rich in B. coli, was higher in the death group, while tenderness and reboun ding pain were prominent and typical in the survival group. The total mortality was 67.27% and the survival rate was 25.45%. 32 out of the 76 cases (some of them had been treated repeatedly) of primary peritonitis were cured (42.11%). The state of restoring health in relation to the drug sensitivity, the mode of administration and the duration of therapy were fully discussed. It was believed that the combined therapy was more effective than the single one, and the duration of the two weeks' treatment seemed to be most suitable. The early diagnosis, effective therapy and prevention were the key points for a good prognosis and better survival rate.