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终末期肝病并发自发性腹膜炎患者血小板计数的变化及其临床意义 被引量:2

Changes of platelet count and clinical significance in patients with terminal stage hepatopathy associated with spontaneous bacterial peritonitis
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摘要 目的:探讨终末期肝病并发自发性腹膜炎患者血小板计数的变化及其临床意义。方法:对266例并发自发性腹膜炎的终末期肝病患者进行回顾性分析,研究对象分为失代偿期肝硬化组、慢性重型肝炎组。观察两组患者血小板计数在腹膜炎发作前、腹膜炎发生时、腹膜炎治愈后的变化,以同组中未并发自发性腹膜炎的患者为对照。结果:失代偿期肝硬化和慢性重型肝炎并发自发性腹膜炎患者血小板计数在腹膜炎发生时下降,腹膜炎治愈后回升(P均<0.01)。结论:血小板计数变化可作为失代偿期肝硬化和慢性重型肝炎并发自发性腹膜炎诊断和治疗的一项辅助参考指标。 Objective:To explore the changes of platelet count and its clinical application in patients with terminal stage hepatopathy associated with spontaneous bacterial peritonitis.Methods:By retrospective analysis,266 cases were divided into two groups:decompensated liver cirrhosis and chronic severe hepatitis group,the changes of platelet count were observed before,during or after the peritonitis,and with decompensated liver cirrhosis,chronic severe hepatitis group of patients without spontaneous bacterial peritonitis as the control.Results:The platelet count decreased in the onset of peritonitis in decompensated liver cirrhosis and chronic severe hepatitis with spontaneous bacterial peritonitis group,and the platelet count recoveried after peritonitis cured(P0.01).Conclusion:The changes of the platelet count may help to diagnose and treat in chronic severe hepatitis and decompensated liver cirrhosis associated with spontaneous bacterial peritonitis.
出处 《中西医结合肝病杂志》 CAS 2011年第2期84-85,共2页 Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases
关键词 自发性腹膜炎 肝硬化失代偿期 慢性重型肝炎 血小板计数 spontaneous bacterial peritonitis decompensated cirrhosis chronic severe hepatitis platelet count
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