Grinev M V, Opushnev V A
Khirurgiia (Mosk). 1989 Jan(1):15-20.
Experience in operative treatment of 228 patients for acute acalculous cholecystitis is analysed. This disease differs from acute calculous cholecystitis essentially in the main clinical and morphological signs. Four types of acute acalculous cholecystitis were distinguished according to origin: vascular, enzymatic, enzymatic-vascular, and obturative. The clinical forms are shown: primary vascular, emphysematous, posttraumatic, gallbladder torsion, enzymatic, obturative. It is pointed out that acute acalculous cholecystitis is characterized by rapid destruction of the cystic wall and frequent and severe involvement of the liver and bile ducts, in view of which the tactics of early operations is justified in this pathological condition.
分析了228例急性非结石性胆囊炎患者的手术治疗经验。这种疾病与急性结石性胆囊炎在主要临床和形态学特征上有本质区别。根据病因将急性非结石性胆囊炎分为四种类型：血管性、酶性、酶血管性和闭塞性。展示了其临床类型：原发性血管性、气肿性、创伤后、胆囊扭转、酶性、闭塞性。指出急性非结石性胆囊炎的特点是胆囊壁迅速破坏，肝脏和胆管频繁且严重受累，鉴于此，在这种病理状况下早期手术策略是合理的。
