急性胆囊炎的管理趋势
Trends in management of acute cholecystitis.
作者信息
Mitchell A, Morris P J
出版信息
Br Med J (Clin Res Ed). 1982 Jan 2;284(6308):27-30. doi: 10.1136/bmj.284.6308.27.
A retrospective review has been carried out of the management of acute cholecystitis in one hospital from 1974 to 1978. The policies and outcome are compared with those of the same centre during 1953-62. In the intervening period there has been a move towards early cholecystectomy. Overall mortality has fallen from 7.7% to 1.6%. The results of early surgery are comparable with those of delayed operations. The data also compare favourably with those of controlled clinical trials and support the adoption of early cholecystectomy for acute cholecystitis in routine practice. The saving of resources, however, may not be as great as is suggested by the results of clinical trials.
对一家医院1974年至1978年期间急性胆囊炎的治疗情况进行了回顾性研究。将这些政策和结果与该中心1953 - 1962年期间的情况进行了比较。在此期间，已倾向于早期胆囊切除术。总体死亡率从7.7%降至1.6%。早期手术的结果与延迟手术的结果相当。这些数据与对照临床试验的数据相比也很有利，并支持在常规实践中对急性胆囊炎采用早期胆囊切除术。然而，资源的节省可能不如临床试验结果所显示的那么大。
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