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胆囊穿孔的诊断——一道难题！

Diagnosis of Gallbladder Perforation-a Puzzle!

作者信息

Chowksey Sanjeev R, Baghel Hiteshwari, Sharma Priyank, Singh Brijesh

机构信息

Department of Surgery, SS Medical College and SG Memorial Hospital, Rewa, Madhya Pradesh India ; Nirmal Bhavan, Dr. Ambedkar Marg, Indora Chowk, Nagpur, Maharashtra India 440017.

Department of Surgery, SS Medical College and SG Memorial Hospital, Rewa, Madhya Pradesh India.

出版信息

Indian J Surg. 2014 Jun;76(3):247-50. doi: 10.1007/s12262-013-0826-3. Epub 2013 Feb 5.

DOI:10.1007/s12262-013-0826-3
PMID:25177129
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4141054/
Abstract

Gallstone disease is common and complications frequently encountered include acute cholecystitis, acute pancreatitis, and cholangitis, but gallbladder perforation (GBP) is rare. A definitive diagnosis is uncommon before surgery and morbidity and mortality associated with this condition are high. Reported incidence ranges between 2 and 10.6 % in patients with acute cholecystitis but is higher in patients managed conservatively. We report here five patients with GBP to show the difficulty in making an early diagnosis.

摘要

胆结石病很常见，常见的并发症包括急性胆囊炎、急性胰腺炎和胆管炎，但胆囊穿孔（GBP）很少见。术前很难做出明确诊断，且与这种情况相关的发病率和死亡率都很高。据报道，急性胆囊炎患者的发病率在2%至10.6%之间，但保守治疗的患者发病率更高。我们在此报告5例胆囊穿孔患者，以显示早期诊断的困难。

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