Dähnert W, Klose K J, Günther R, Schmidt H D
Fortschr Med. 1984 Oct 4;102(37):915-7.
Seriously ill patients with acute postoperative cholecystitis are at high risk from emergency cholecystectomy. A case is presented which shows that non-operative percutaneous cholecystostomy may improve the patient's condition. With continuous percutaneous drainage of the infected bile and selective antibiotic treatment, the patient's condition can be stabilized so that all the necessary preparations for elective cholecystectomy can be made.
急性术后胆囊炎的重症患者接受急诊胆囊切除术时面临高风险。本文介绍了一个病例,该病例表明非手术经皮胆囊造瘘术可能改善患者状况。通过持续经皮引流感染胆汁并进行选择性抗生素治疗,患者病情可得到稳定,从而能够为择期胆囊切除术做好所有必要准备。