Myshkin K I, Frankfurt L A, Masharov G B
Vestn Khir Im I I Grek. 1980 Aug;125(8):44-8.
Operations were fulfilled in 420 patients with acute cholecystitis, 132 of them having obstructive jaundice. Only two patients were operated urgently due to peritonitis. In the other 130 patients forced diuresis and rational antiinflammatory therapy with antibiotics were used resulting in subsiding acute phenomena and liquidation of jaundice. It created the conditions for valuable examination of the patients and for performing operations under favourable conditions with respect to the cold period. The postoperative lethality in the cold period was 3.1%.
对420例急性胆囊炎患者进行了手术,其中132例伴有梗阻性黄疸。仅2例因腹膜炎进行了急诊手术。对其他130例患者采用了强制利尿及合理的抗生素抗炎治疗,使急性症状消退,黄疸消除。这为对患者进行有价值的检查以及在寒冷季节的有利条件下进行手术创造了条件。寒冷季节的术后死亡率为3.1%。