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创伤后急性非结石性胆囊炎诊治体会 被引量:4

DIAGNOSIS AND TREATMENT OF POSTTRAUMATIC ACUTE ACALCULOUS CHOLECYSTITIS(AAC)
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摘要 目的探讨创伤或术后急性非结石性胆囊炎的诊治方法。方法对收治的19例创伤后或术后急性非结石性胆囊炎资料进行分析。结果14例确诊后作胆囊切除,3例行胆囊切除及胆总管T管引流,2例保守治疗。治愈17例,死亡2例。结论创伤后或术后急性非结石性胆囊炎是一种单独的临床疾病,其起病急、进展快,临床表现不典型,易误诊。早期诊断及时手术切除胆囊是提高治愈率,减少死亡率的关键。 Objective To investigate the cause,clinical characteristics, diagnosis and treatment of posttraumatic acute acalculous cholecystitis. Methods 19 cases of posttraumatic acute acalculous cholecystitis, which were treated were analyzed retrospectively. Results Among them 14 cases were treated operatively and 2 cases were treated nonoperatively. Of them 17 were cured and 2 were died. Conclusions posttraumatic acute acalculous cholecystitis is very urgent and fast. The cause is very complication, clinical characteristics was atypic and misleading , The early diagnosis and cholecystectomy in time are the key to improve the rate of cure and reduce the mortality.
出处 《肝胆外科杂志》 2007年第1期39-41,共3页 Journal of Hepatobiliary Surgery
关键词 胆囊切除术 急性非结石性胆囊炎 创伤 trauma acute acalculous cholecystitis cholecystectomy
作者简介 吕成余,男,副主任医师。研究方向:普通外科。
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  • 1吴在德.外科学[M].北京:人民卫生出版社,2001.157.

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