Breen P C
South Med J. 1975 May;68(5):658-60. doi: 10.1097/00007611-197505000-00035.
The diagnosis of traumatic injury of the gallbladder may only be discovered at the time of celiotomy. The patient initially may be asymptomatic; later, he may develop nausea, vomiting, or paralytic ileus. Hemoconcentration, leukocytosis, and biliurea all have been observed, but are inconstant findings. However, increasing abdominal distention without a change in hematocrit value, jaundice, dark urine, or acholic stools accompanied by a rising bilirubin level should aid in diagnosis. Although the treatment of traumatic rupture of the gallbladder may be altered to fit the clinical situation and degree of anatomic disruption, most authors agree that cholecystectomy is the method of choice.
胆囊创伤性损伤的诊断可能仅在剖腹手术时才被发现。患者最初可能没有症状；之后，可能会出现恶心、呕吐或麻痹性肠梗阻。已观察到血液浓缩、白细胞增多和胆红素尿，但这些表现并不恒定。然而，腹胀加剧且血细胞比容值无变化、黄疸、深色尿液或无胆汁粪便伴胆红素水平升高有助于诊断。尽管胆囊创伤性破裂的治疗可能会根据临床情况和解剖结构破坏程度进行调整，但大多数作者一致认为胆囊切除术是首选方法。
