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간경변에 합병된 원발성 세균성 복막염에 있어서 복수의 세균배양검사의 의의
이학중(Hak Choong Lee),백영건(Yeong Keon Baek),우연미(Yeon Mi Woo),권영근(Yeong Keun Kwon),민경업(Kyung Up Min) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1
N/A The spontaneous bacterial peritonitis (SBP) is very grave complication in cirrhotics, and early diagnosis and treatment is crucial for good management. Authors studied clinical features and diagnostic value of laboratory findings in SBP, which was confirmed by bacteriological culture of ascites. The results obtained were summarized as follows: 1) The incidences of abdominal pain, tenderness and rebound tenderness in SBP were significantly higher than those of controls. 2) The levels of serum protein, bilirubin, and WBC counts in ascitic fluid were different significantly between SBP and controls. 3) In spite of the differences between SPB and controls, it was unsuitable to apply these findings in the diffential diagnosis of bacterial infection because there were significantly high risks of false positive and false negative. On the bases of these findings, it is suggested that culture of ascitic fluid is mandatory to detect bacterial infection early, even though clinical findings are not suggestive of bacterial infection