早期手术治疗急性结石性胆囊炎的体会

目的：探讨早期手术治疗急性结石性胆囊炎（AGC）的效果和经验。方法：对我院AGC患者26例采取早期手术治疗措施,评估临床治疗效果。结果：本组患者治愈25例,死亡1例,病死率3.84%,死亡原因为高龄合并术后多脏器功能衰竭。术中并发胆囊床大出血1例,心衰l例,呼吸衰竭1例,肾上腺危象1例,切口感染、切口裂开2例。结论：早期手术治疗急性结石性胆囊炎的效果确切,安全可靠。

Study on Nonage Surgery Treatment of Acute Calculus Cholecystitis

Objective： To investigate the effect and experience of nonage surgery treatment of acute calculus cholecystitis.Method： The 26 cases with acute calculus cholecystitis received the nonage surgery treatment,and the clinical effect were evaluated.Result： The 25 cases were cured and the 1 case was dead,and the case fatality rate was 3.84%.The dead reason was older combined with MOF.There was 1 case complicated by gallbladder bed hemorrhoea after operation,1 case complicated bycongestive heart failure after operation,1 case complicated with respiratory failure after operation,1 case complicated with adrenal crisis after operation,2 cases complicated with postoperative infection and disruption of wound.Conclusion： The effect of nonage surgery treatment of acute calculus cholecystitis is obvious and safety.