Wingert W A, Mikity V G
Calif Med. 1967 Jul;107(1):26-32.
Six cases of cholecystitis and cholelithiasis confirmed by x-ray examination and surgical operation were observed in a ten-year period. Due to the wide variability in signs and symptoms in children, cholecystitis and cholelithiasis can be diagnosed only with a high degree of clinical suspicion and roentgenological examination. Gallbladder disease is uncommon in childhood but should be considered in children with vague abdominal pains or bouts of unexplained jaundice. If a normal appendix is found at laparotomy in the "acute abdomen," the surgeon would be wise to palpate other specific organs within the abdomen, including the liver and gallbladder. The treatment of choice is cholecystectomy. The prognosis for recovery is excellent if there is no complicating systemic disease.
在十年期间观察到6例经X线检查和外科手术确诊的胆囊炎和胆石症病例。由于儿童的体征和症状差异很大，胆囊炎和胆石症只有在高度临床怀疑并进行放射学检查时才能确诊。胆囊疾病在儿童期并不常见，但对于有不明原因腹痛或不明原因黄疸发作的儿童应予以考虑。如果在“急腹症”剖腹手术中发现阑尾正常，外科医生明智的做法是触诊腹部其他特定器官，包括肝脏和胆囊。首选治疗方法是胆囊切除术。如果没有并发全身性疾病，恢复预后极佳。
