Spontaneous bacterial peritonitis in the patients with liver cirrhosis

Background: Spontaneous bacterial peritonitis (SBP) is severe complication of the patients with liver cirrhosis, can also develop renal hepatic syndrome or hepatic encephalopathy. Objective: To study clinical signs and the frequency of SBP according to the severity of liver disease and the change of biochemical parameters, characteristics of ascitic fluid. Subjects and method: 37 patients with liver cirrhosis having SBP diagnosed or by an ascitic fluid polymorphonuclear neutrophil (PMN) leukocyte count of > 250 cells per mm3 and/ or microbial positive culture ascites. The conventional method of culture ascites by plating out a loop of fluid on agar plates in the microbiology laboratory. All patients were treated at Bach Mai Hospital. Results:78.4% SBP in patients with Child - Pugh C 64.9% in patients having abundant ascites fluid, 72.9% having ascitic protein < 10g/l, the very low frequency of culture - positive ascitic fluid (5.4%). The frequency clinical signs were abdominal pain (67.6%) and diarrhea (73.0%). Conclusions: Considering the SBP preventive treatment for patients with liver cirrhosis having low - protein ascites < 10g/l) and setting up ascitic fluid culture with a larger volume of ascites into aerobic and anaerobic blood culture bottles at the beside improves the sensitivity of detection of an organism.

Study on the health care exercise of Medical Doctor NguyÔn V¨n H­ëng in patients with the chronic cerebro circulation insufficiency syndrome

50 patients with the chronic cerebro circulation insufficiency ages of 45-78 in the health care acupuncture department of the ViÖt Nam institute of traditional medicine participated to a study. The clinical and para-clinical changes after 45 days of training of exercise of M.D. NguyÔn V¨n H­ëng were monitored. The results have shown that the exercise improved the clinical condition of the cerebro circulation insufficiency. The clinical score according to the table khadjew reduced significantly in which 62% patients with obvious remission, 35% patients with moderate remission, no patients with exacerbation of disease. The exercise improved the cerebral circulation in some biological indicators such as cerebral blood flow electroencephologram, lipemia, and respiratory function.