Baulin A A, Baulin N A, Tishchenko A I, Sapozhkov A Iu, Kremenitskiĭ V D
Khirurgiia (Mosk). 1991 Nov(11):50-3.
The authors discuss 25 patients with gallstone ileus, which is a quite frequently encountered complication of cholelithiasis and is recorded in 0.64% of patient who underwent operation for calculous cholecystitis. The diagnosis and treatment of this complication have some specific features whose knowledge is extremely important in rendering emergency surgical care. Better results can be achieved by a timely and adequate diagnosis, individual choice of the operative method, and subsequent follow-up of the patients who were operated on. Regular medical examination and planned preventive treatment of patients with cholelithiasis are the main trends in the prophylaxis of this disease. Postoperative mortality was 24%.
作者讨论了25例胆石性肠梗阻患者,这是胆石症相当常见的一种并发症,在接受结石性胆囊炎手术的患者中占0.64%。该并发症的诊断和治疗具有一些特殊特征,了解这些特征对于提供紧急外科治疗极为重要。及时、充分的诊断、手术方法的个体化选择以及对接受手术患者的后续随访可以取得更好的效果。对胆石症患者进行定期体检和计划性预防性治疗是预防该疾病的主要趋势。术后死亡率为24%。