Terjung Birgit, Neubrand M, Sauerbruch T
Medizinische Klinik und Poliklinik I, Universitätsklinikum Bonn.
Internist (Berl). 2003 May;44(5):570-6, 578-84. doi: 10.1007/s00108-003-0915-7.
Acute biliary pain represents the main symptom of gallbladder stones, less frequently of common bile duct stones or functional disorders of the biliary tract. The pain lasts at least 15 minutes, is typically localized to the epigastrium or the right upper quadrant of the abdomen and my radiate to the right shoulder. Diagnosis of biliary pain is primarily based on clinical criteria, ultrasound allows detection of causative gallstones with high sensitivity and specificity. Analgesics and laparoscopic cholecystectomy are widely accepted as standard therapy for the majority of patients.
急性胆绞痛是胆囊结石的主要症状，较少见于胆总管结石或胆道功能紊乱。疼痛持续至少15分钟，通常位于上腹部或腹部右上象限，可放射至右肩部。胆绞痛的诊断主要基于临床标准，超声检查能以高灵敏度和特异性检测出引起疼痛的胆结石。对于大多数患者，镇痛药和腹腔镜胆囊切除术被广泛接受为标准治疗方法。
