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[Renal impairment after spontaneous bacterial peritonitis in chronic severe viral hepatitis]
1Department of Infectious Diseases, First Affiliated Hospital of Auhui Medical Unirersity, Hefei 230022.
Objective:
To study the clinical features, prognosis and influence factors of renal impairment (RI) in chronic severe viral hepatitis with spontaneous bacterial peritonitis (SBP).
Methods:
129 discharged patients with chronic severe viral hepatitis(CSVH) complicated with spontaneous bacterial peritonitis were analyzed retrospectively.
Results:
Renal impairment is a frequent event in CSVH patients with SBP. SBP-R I is functional in nature, it may be followed by a rapidly progressive or a stable disease course, or may be reversed after recovery of the infection.
Conclusion:
Independent prognostic factors were age, clinical course of liver disease, other infection or diabetes, severe renal impairment, serum sodium level before SBP and negative response to antibiotic therapy.