What is the diagnostic standard that liver cirrhosis ascites erupts the primary peritonitis simultaneously? 's symptom
(1)The patient has peritoneum such as generating heat, abdominal pain, belly tenderness and dancing, aching instead to stimulate symptom; (2)Ascites leucocyte> 0.5* 10.9 L, neutral cells> 0.50, the slide or training the masculine gender, can make a definite diagnosis of SBP (should do the anaerobe to train at the same time at the time of cultivation) ; (3)Ascites leucocyte 0.3* 10.9 L, neutral cells> 0.50, combine clinical manifestation, can diagnose as SBP; (4)Ascites leucocyte> 0.3* 10.9 L, neutral cells> 0.25, even without clinical manifestation, should highly suspect it is S BP, and press SBP treatment. (5)If has not reached the above-mentioned standard, the following persons who test the masculine gender can also diagnose SBP: Ascites pH0.1. The ascites pH is determined must be finished rapidly after taking the ascites out, CO in the ascites of over 30 minutes2Increase, pH value drops. Lactate of ascites> 0.63mol/L, but should distinguish malignant ascites and acidosis; Test the masculine gender in ascites Hou; Adenosine deaminase (ADA) of ascites >6k L, but ADA can also be raised in the malignant ascites, ADA reaches the higher level at the time of tuberculosis peritonitis.
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