| 创伤或术后急性非结石性胆囊炎27例诊疗分析 |
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| 引用本文： | 赵涛,陈秋星,任传增,高传书,伊涛. 创伤或术后急性非结石性胆囊炎27例诊疗分析[J]. 安徽医药, 2014, 0(5): 892-894 |
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| 作者姓名： | 赵涛 陈秋星 任传增 高传书 伊涛 |
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| 作者单位： | 赵涛(安徽省立医院急救医学中心外科,安徽合肥,230001)；陈秋星(安徽省立医院急救医学中心外科,安徽合肥,230001)；任传增(安徽省立医院急救医学中心外科,安徽合肥,230001)；高传书(安徽省立医院急救医学中心外科,安徽合肥,230001)；伊涛(安徽省立医院急救医学中心外科,安徽合肥,230001)； |
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| 摘 要： | 目的探讨创伤或术后急性非结石胆囊炎（acute acalculous cholecystitis,AAC）的诊疗方法。方法对收治的27例急性非结石胆囊炎患者临床资料进行分析。结果 26例行剖腹手术及1例腹腔镜手术,均顺利切除胆囊；手术及病理均证实为急性非结石性胆囊炎,确诊胆囊坏疽穿孔9例,2例死亡,并有4例不同术后并发症。结论创伤后AAC症状不典型,重视局部体征、及早发现危险因素、结合B超动态监测及CT检查明显有助于诊断,延误诊断后果严重；治疗应以手术切除为主。
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| 关 键 词： | 创伤 非结石性胆囊炎 胆囊切除 |
Diagnosis and treatment of posttraumatic or postoperative acute acalculous cholecystitis in 27 cases |
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| Affiliation: | ZHAO Tao, CHEN Qiu-xing, REN Chuan-zeng, et al ( Center of Emergency Medicine ,Anhui Provincial Hospital ,Hefei ,Anhui 230001, China) |
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| Abstract: | Objective To investigate diagnosis and treatment of posttraumatic or psotoperative acute acalculous cholecystitis（ AAC）. Methods Clinical data of 27 cases of AAC were analyzed retrospectively. Results All the 27 cases were treated operatively,operation type including cholecystectomy in 26 cases and laparoscopic cholecyctectomy（ LC） in 1 case. AAC was confirmed by pathology,of which gangrene perforation occurred in 9 cases. Two cases died and 4 cases suffered from postoperative complications of all the patients. Conclusions Clinical characteristics of AAC are atypic. Timely discovery of local signs and risk factors combined with B ultrasonic and CT examination contribute to accurate diagnosis of AAC. Surgery is the major treatment. |
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| Keywords: | trauma acute acalculous cholecystitis cholecystectomy |
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