Clinical analysis of spontaneous bacterial peritonitis in 102 liver cirrhosis cases

[Objective] To investigate the strain type , clinical features and therapy of spontaneous bacterial peritonitis (SBP) with liver cirrhosis. [Methods] The clinical data of 102 patients with liver cirrhosis complicated by SBP were analysed retrospectively. [Results] Among these cases, nearly half mumber of patients didn't have the obvious abdominal tapping and 88 patients(86.27%)percent of polymorphonuclear were higher than 0.50. 26 patients bacterial culture in ascites showed positive and 28 organisms were isolated, E. coli accounted for 46.43%. Compared with that in the patients whose concentration of ascites protein were more than 10 g/L, the incidence of SBP was higher in the patients whose concentration of ascites protein were less than 10 g/L, the differences was remarkable (P 0.01). [Conclusion] The clinical symption of liver cirrhosis complicated by SBP are mild, the ratio of PMN in ascites is a reliable parameter to diagnose SBP. E. coli is mainly in the pathogenic bacterium. The patients whose concentration of ascites protein are less than 10 g/L must be taken take care of the complication OF SBP and ascites inspection in early time is suitable. For SBP, it is necessary to treat with antibiotic in early time, not waiting for the result of the bacterial culture in ascites.