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创伤后及术后急性非结石性胆囊炎

Posttraumatic and postoperative acute acalculous cholecystitis.

作者信息

Ullman M, Hasselgren P O, Tveit E

出版信息

Acta Chir Scand. 1984;150(6):507-9.

PMID:6495985
Abstract

Acute acalculous cholecystitis has been described following surgery unrelated to the biliary tract and after multiple trauma (DuPriest et al., 1979; Gately & Thomas, 1983; Herlin et al., 1982; Howard, 1981; Long et al., 1978; Orlando et al., 1983). Mortality rate is high, probably in part reflecting delayed diagnosis and treatment, since symptoms and signs of the primary disease often mask the symptoms of cholecystitis. Increased awareness of this rare condition might lead to more accurate diagnosis and treatment and thereby improved outcome. In this report three patients who developed acute acalculous cholecystitis following unrelated surgery or multitrauma are described.

摘要

急性非结石性胆囊炎已被报道可发生于与胆道无关的手术后以及多处创伤后(DuPriest等人,1979年;Gately和Thomas,1983年;Herlin等人,1982年;Howard,1981年;Long等人,1978年;Orlando等人,1983年)。死亡率很高,这可能部分反映了诊断和治疗的延迟,因为原发性疾病的症状和体征常常掩盖胆囊炎的症状。对这种罕见病症的认识提高可能会导致更准确的诊断和治疗,从而改善预后。在本报告中,描述了3例在无关手术或多处创伤后发生急性非结石性胆囊炎的患者。

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Posttraumatic and postoperative acute acalculous cholecystitis.创伤后及术后急性非结石性胆囊炎
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Secondary Sclerosing Cholangitis in Critically Ill Patients: Clinical Presentation, Cholangiographic Features, Natural History, and Outcome: A Series of 16 Cases.危重症患者的继发性硬化性胆管炎:临床表现、胆管造影特征、自然病史及预后:16例病例系列
Medicine (Baltimore). 2015 Dec;94(49):e2188. doi: 10.1097/MD.0000000000002188.
2
Postoperative acute cholecystitis: a collective review of 494 cases in Japan.
Jpn J Surg. 1988 Jan;18(1):35-42. doi: 10.1007/BF02470844.
3
Acute acalculous cholecystitis in critically injured patients. Preoperative diagnostic imaging.重症创伤患者的急性非结石性胆囊炎。术前诊断性影像学检查。
Ann Surg. 1989 Jul;210(1):52-5. doi: 10.1097/00000658-198907000-00008.
4
[Reactive acalculous cholecystitis: a bland and asymptomatic course--incidence of a classical stress disease].[反应性非结石性胆囊炎:病情平稳且无症状——一种典型应激性疾病的发病率]
Langenbecks Arch Chir. 1989;374(1):46-54. doi: 10.1007/BF01261935.
5
[Acute stress-induced cholecystitis].
Langenbecks Arch Chir. 1991;376(3):143-6. doi: 10.1007/BF00250338.