Tauchnitz C
Inneren Abteilung Ev.-Luth. Diakonissenhauses, Leipzig.
Z Gesamte Inn Med. 1989 Jul 1;44(13):395-8.
Antibacterial chemotherapy of cholecystitis and cholangitis is of limited value, i.e. as a supportive measure. Early cholecystectomy and endoscopic-invasive procedures (in the case of cholangitis) are indicated primarily. If causal therapy is not possible long-term suppressive antimicrobial chemotherapy should be tried. Microbiological diagnosis is difficult. Therefore chemotherapy in most cases is done on empirical basis. Blood cultures are useful as well as quantitative cultures of duodenal secretions (in cases of cholangitis only). The most frequently used chemotherapeutics are discussed. Single dose chemoprophylaxis (bactericidal substances) is effective.
胆囊炎和胆管炎的抗菌化疗价值有限，即仅作为一种支持性措施。主要应进行早期胆囊切除术和内镜侵入性操作（胆管炎时）。如果无法进行病因治疗，应尝试长期抑制性抗菌化疗。微生物学诊断困难。因此，大多数情况下化疗是基于经验进行的。血培养以及十二指肠分泌物定量培养（仅在胆管炎病例中）很有用。文中讨论了最常用的化疗药物。单剂量化学预防（杀菌物质）是有效的。
