Thursday, March 6, 2008

How to treat peritonitis with cirrhosis?

Peritonitis with cirrhosis rate of up to 10% ~ 25% peritonitis caused by bacterial infection mainly from intestinal flora, many caused by gram-negative bacillus. Typical symptoms of fever, chills, abdominal tenderness-wide, anti-rectal and borborygmi weakened. With fever and abdominal pain most common. About 10% of patients with typical symptoms. (1) timely, reasonable and effective early use of antibiotics : ascites not bacterial culture results pending Based on the clinical experience on the use of antibiotics, the general joint medication, try to avoid using right Syndrome is detrimental to the drug. At present, the third-generation cephalosporin drugs at the top, with a cure rate of 85%, no renal toxicity and other side effects; suspected anaerobic mixed infection, while the use of metronidazole. (2) ascites bacterial culture and sensitivity are defined, select the sensitive antibiotics, such as training results were negative, Selection should be based on experience of antibiotics. (3) require the use of antibiotics adequate, adequate treatment, ascites normal checks before withdrawal. (4) improve liver and kidney function, increased nutritional support, but also within the abdominal cavity to enhance the efficacy of medication.

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