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急性非结石性胆囊炎的诊治(附79例分析) 被引量:20

Diagnosis and Treatment of Acute Acalculous Cholecystitis: Analysis of 79 Cases
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摘要 目的探讨急性非结石性胆囊炎的临床特点、发病机理及诊治。方法对我院1996年1月至2003年1月期间收治的79例急性非结石性胆囊炎患者的临床资料进行回顾性分析。结果本组病例中,行非手术治疗13例,手术治疗66例;术后病理检查证实急性化脓性胆囊炎23例,坏疽性胆囊炎43例,其中伴胆囊穿孔18例。痊愈76例,死亡3例。结论对该病保持警惕性,动态观察病情变化,必要时积极进行手术治疗是改善其预后的有效方法。 Objective To analysis the clinical characteristics, pathogenesis, diagnosis and treatment of acute acalculous cholecystitis. Methods Seventy-nine cases of acute acalculous cholecystitis from January 1996 to January 2003 were retrospectively reviewed. Results Of those 79 eases, 13 eases were treated non-operatlvely and 66 eases were treated operatively. Twenty-three eases were suppurative, 43 eases were gangrenous with perforation in 18 cases, which were proved by postoperative pathology. Seventy-six eases were cured and 3 eases were dead. Conclusion Keeping vigilant alert, observing dynamically as well as appropriate operative intervention are effective to improve the prognosis of acute acalculous cholecystitis.
出处 《中国普外基础与临床杂志》 CAS 2005年第5期499-501,共3页 Chinese Journal of Bases and Clinics In General Surgery
关键词 急性非结石性胆囊炎 诊断 治疗 Acute acalculous cholecystitis Diagnosis Treatment
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