Zinevich V P, Ivanova R M, Babkin V Ia, Shugaev A I, Trubachev V I
Vestn Khir Im I I Grek. 1986 Jul;137(7):32-6.
The article presents results of treatment of 300 patients with acute cholecystitis, 285 of them (95%) being operated upon. Hepatic insufficiency was found to develop in 173 patients (57,6%). The operation of choice was cholecystectomy (97,1%). Cholecystostomy was fulfilled in 7 patients (2,4%), in 2 patients (0,5%) choledocholithotomy was made following a previous cholecystectomy. Lethality in patients with hepatic insufficiency was 4 times as high as in patients without it. In 34,1% of the operated patients hepatic insufficiency was the main cause of death.
本文介绍了300例急性胆囊炎患者的治疗结果，其中285例（95%）接受了手术。发现173例患者（57.6%）出现肝功能不全。首选的手术是胆囊切除术（97.1%）。7例患者（2.4%）进行了胆囊造瘘术，2例患者（0.5%）在先前胆囊切除术后进行了胆总管切开取石术。肝功能不全患者的死亡率是无肝功能不全患者的4倍。在34.1%的手术患者中，肝功能不全是主要死因。
