急性化脓性胆囊炎：173例回顾性研究

Acute suppurative cholecystitis: a retrospective study of 173 cases.

作者信息

Lam K H, Wong J, Lim S T, Ong G B

出版信息

Aust N Z J Surg. 1979 Feb;49(1):23-8. doi: 10.1111/j.1445-2197.1979.tb06431.x.

DOI:10.1111/j.1445-2197.1979.tb06431.x

Abstract

Over a 14-year period we treated 2,290 cases of non-malignant biliary tract conditions, and among them were 173 cases of acute suppurative cholecystitis, an incidence of 7.6%. A correct preoperative diagnosis of acute suppurative cholecystitis was made in only about half the cases because features of recurrent pyogenic cholangitis dominated the clinical picture on many occasions. The diagnosis was confirmed in all cases at operation. Cholecystectomy (88%) was performed whenever this was found to be safe, and cholecystostomy (12%) was carried out only in poor-risk patients or when operative difficulties were encountered. The overall mortality of operation was 5.8%. Old age, preoperative shock, delay of operation and the presence of free perforation affected the prognosis adversely.

摘要

在14年期间，我们治疗了2290例非恶性胆道疾病，其中急性化脓性胆囊炎173例，发病率为7.6%。由于复发性化脓性胆管炎的特征在很多情况下主导了临床表现，只有约一半的病例在术前被正确诊断为急性化脓性胆囊炎。所有病例均在手术中得到确诊。只要发现安全，就进行胆囊切除术（88%），仅在高危患者或遇到手术困难时才进行胆囊造口术（12%）。手术的总体死亡率为5.8%。高龄、术前休克、手术延迟和游离穿孔的存在对预后有不利影响。