术后急性胆囊炎的诊断与治疗探讨

The diagnosis and treatment of postoperative acute cholecystitis

目的 探讨术后急性胆囊炎的病因、诊断方法和治疗。方法 回顾性分析 9例术后急性胆囊炎的临床资料并复习文献。结果 B超确诊为术后急性胆囊炎者 7例 ,CT确诊 1例 ,1例因胆囊穿孔而死亡 ,急性胆囊切除术病例无死亡。结论 胆汁淤积是引起术后急性胆囊炎的主要病因。早期确诊。

Objective\ To investigate the causes,diagnosis and treatment of postoperative acute cholecystitis.Methods\ Clinical data of 9 cases with postoperaive acute cholecystitis were analyzed retrospectively.Results\ 7 cases was confirmed by ultrasonography,1 case was confirmed by CT,and 1 case died of gallbladder perforation,no operative mortality in emergency cholecystectomy.Conclusion\ The prevalent etiology is biliary stasis.Early diagnosis and treatment is the key point to decrease the death rate.