急性非结石性胆囊炎25例临床分析

目的:探讨急性非结石性胆囊炎的临床特点及诊治方法。方法:回顾分析25例确诊为急性非结石性胆囊炎患者的临床资料。结果:25例均行手术治疗,其中胆囊切除术22例,胆囊切除、胆总管切开探查、T管引流术3例。术后病理证实急性化脓性胆囊炎18例、坏疽性胆囊炎7例,其中伴胆囊穿孔3例。术后痊愈24例,l例术后死于感染性休克、多器官功能衰竭。结论:急性非结石性胆囊炎病因复杂,病情进展快,死亡率高,早期诊断、积极手术是提高疗效的关键。

CLINICAL ANALYSIS OF 25 CASES ACUTE ACALCULOUS CHOLECYSTITIS

Objective:To investigate the clinical features and treatment of acute acalculous cholecystitis.Methods:The clinical data of 25 acute acalculous cholecystitis patients were retrospectively analyzed.Results:All the 25 cases were treated by operative treatment.22 cases underwent cholecystectomy,3 cases were cholecystectomy,exploration of common bile duct and T tube drainage.It was confirmed by pathological examination after surgery that 18 cases were acute suppurative cholecystitis,7 cases were gangrenous cholecystitis,3 cases accompanying perforation of gallbladder.24 cases were cured by surgery;1 case died of infectious shock and multiple organ failure.Conclusions:The cause of acute acalculous cholecystitis is complicated,progress fast,death rate is high;the key point is early diagnosis and aggressive surgery.