急性非结石性胆囊炎病因及诊治分析

EtioLogy,diagnosis and treatment of acute acaLculous cholecystitis

目的探讨急性非结石性胆囊炎的临床特点、发病机制及诊治。方法对天津医科大学一中心临床学院1995年1月至2005年12月期间收治的29例急性非结石性胆囊炎病人的临床资料进行回顾性分析。结果本组病例中,行非手术治疗1例,手术治疗28例;伴胆囊坏疽穿孔8例。痊愈28例,死亡1例。结论急性非结石性胆囊炎是一种相对独立的临床疾病,其重症病人并发症发生率和病死率高,对该病保持警惕性,动态观察病情变化。

Objective To explore the clinical characteristics,pathogenesis,diagnosis and treatment of acute acalculouscholecyslilis.Methods 29 cases of acute acalculousrholecystilis in Tianjin First Center Hospital from January 1995 to December 2005 were retrospectively reviewed.Results Of those 29 cases,1 case was treated nonoperatively and 28 cases were treated operatively.8 cases were gangrenous with perforation.28 cases were recurred and 1 case was dead.Conclusion Acute acalculouscholecyslilis is a special disease with high morbidity rate and mortality rate,keeping vigilantalert,observing dynamically as well as appropriate operative intervention ard effective to improve the prognosis of acute acalculouscholecystitis.