急性无结石性胆囊炎的风险因素、诊断和预后

Acute Acalculous Cholecystitis: Risk Factors, Dianosis, and Prognosis

目的 :对急性无结石性胆囊炎的风险因素、诊断、预后进行分析。方法 :回顾 9例急性无结石性胆囊炎的诊断和治疗。结果 :6例无风险因素 ,3例具有免疫缺陷疾病及感染、肠梗阻、全胃肠外营养等因素 ;7例诊断明确 ,2例误诊 ;8例治愈 ,1例死亡。讨论 :急性无结石性胆囊炎可发生在无风险因素病例中 ,其坏疽、穿孔发生率高 。

Objective: To analyse the risk factors, diagnosis and prognosis of acute acalculous cholecystitis(AAC). Methods: Nine patients whth AAC were reviewed.Results: There are 6 cases without any risk factors,three patients with the factors of immunodefficiency disease,infection,bowel obstruction and total parenteral nutrition support(TPN).The diagnosis of 7 cases was correct and 2 cases was mistaken. 8 cases were cured, one patient died. Conclusion: AAC may appear in cases without any risk factors,and the incidence of gangrene,perforation in AAC is high,To improve prognosis early diagnosis is necessary.