胆囊穿孔的当前治疗方法。
Current management of gall bladder perforations.
作者信息
Menakuru Somasekhar R, Kaman Lileswar, Behera Arunanshu, Singh Rajinder, Katariya Rabindra Nath
机构信息
Department of Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
出版信息
ANZ J Surg. 2004 Oct;74(10):843-6. doi: 10.1111/j.1445-1433.2004.03186.x.
BACKGROUND
Gall bladder perforation is a serious complication of acute cholecystitis. The purpose of the present study is to evaluate the presenting symptoms, diagnosis and management of patients with gall bladder perforations.
METHODS
A retrospective study was undertaken of 31 consecutive patients with gall bladder perforation in a single unit of a tertiary referral hospital, between January 1996 and December 2001.
RESULTS
The incidence of gall bladder perforation was 5.9% of all cases of acute cholecystitis. Associated comorbidity was quite common (58%). Ultrasound and computed tomography scans of the abdomen are sensitive investigations. Ultrasound guided percutaneous drainage helps in tiding over the emergency. The morbidity (35%) and mortality (9.6%) is considerable.
CONCLUSION
The patterns of presentations, diagnosis and management of gall bladder perforation are changing. But there is scope for improvement.
背景
胆囊穿孔是急性胆囊炎的一种严重并发症。本研究的目的是评估胆囊穿孔患者的临床表现、诊断及治疗情况。
方法
对1996年1月至2001年12月间在一家三级转诊医院的一个科室连续收治的31例胆囊穿孔患者进行回顾性研究。
结果
胆囊穿孔的发生率占所有急性胆囊炎病例的5.9%。合并症相当常见（58%）。腹部超声和计算机断层扫描是敏感的检查方法。超声引导下经皮引流有助于度过紧急情况。发病率（35%）和死亡率（9.6%）相当可观。
结论
胆囊穿孔的临床表现、诊断及治疗模式正在发生变化。但仍有改进的空间。
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