腹腔放液\灌洗\注入抗生素治疗自发性细菌性腹膜炎的疗效观察
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【摘要】目的:观察腹腔放液、灌洗,注入抗生素对重度自发性细菌性腹膜炎的疗效。方法:将入选的36例病人随机分为2组,治疗组和对照组,每组各18例,两组病例均在护肝,利尿,对症和支持治疗的同时静脉注射左氧氟沙星,治疗组在此基础上配合进行腹腔放液,然后将等量的生理盐水灌入腹腔,再将等量生理盐水放出腹腔,之后将头孢哌酮钠舒巴坦钠3.0克注入腹腔,隔日一次,疗程7天,两疗程后观察两组的临床症状、体征、肝功能、腹水量级常规检查。结果两组在临床症状、体征的控制,及肝功能、腹水量、常规检查结果进行比较,差异显著(P<0.01),具有可比性。结论 腹腔放液、灌洗及注入抗生素对肝硬化重度自发性细菌性腹膜炎具有满意的疗效。
【关键词】腹腔放液;灌洗;抗生素;自发性细菌性腹膜炎;疗效观察
The abdominal cavity puts the fluid, the syringe, to pour into the antibiotic treatment spontaneity bacterial peritonitis’s curative effect observation
Yang Xiujun
【Abstract】Objective: Observes the abdominal cavity to put the fluid, the syringe, pours into the antibiotic to the specific weight spontaneity bacterial peritonitis’s curative effect. Methods: Will be selected 36 example patients divide into 2 groups stochastically, the treatment group and the control group, each group of each 18 examples, two groups of cases in protect the liver, the diuresis, just right for the illness and the support treatment’s at the same time intravenous injection left oxygen fluorine sand star, the treatment group based on this coordinates to carry on the abdominal cavity to put the fluid, then pours into the isometric physiological saline the abdominal cavity, emits again the isometric physiological saline the abdominal cavity, afterward the spore pai alkone sodium will extend the Batan sodium 3 ......
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