急性坏疽性胆囊炎40例临床分析

目的 探讨急性坏疽性胆囊炎的发病特点、影响因素以及诊治经验,以提高存活率.方法 对我院2005年5月~2010年12月收治的40例急性坏疽性胆囊炎的临床资料进行回顾性分析.结果 40例均行开腹手术治疗,术后存活38例,2例死于感染中毒性休克并急性肾衰竭,病死率为5 0%.结论 急性坏疽性胆囊炎病情复杂,诊断不易,并发症较多,一旦诊断明确应及早行手术治疗,以提高治愈率.

Clinical Analysis of Acute Gangrenous Cholecystitis (A Report of 40 Cases)

Objective To study the characteristics of the acute gangrenous cholecystitis and the experience of diagnosis and treatment, Methods Clinical data of 40 patients with acute gangrenous cholecystitis treated in our hospital during May 2005 and December 2010 were reviewed and analyzed. Results Of the 40 patients, 38 patients were cured and 2 patients died of toxic shock in conjunction with renal failure; the mortality was 5.0%. Conclusion It is suggested that immediate rescue operation should be performed for acute gangrenous cholecystitis because of the complex state of illness and serious syndromes.