Chung S C
Family medicine residency program, Southern California Kaiser Permanente Medical Group, Fontana, USA.
Postgrad Med. 1995 Sep;98(3):199-200, 203-4.
Acute acalculous cholecystitis carries high morbidity and mortality rates, but if it is detected early, the prognosis for recovery is good. Detection requires diligence, because signs and symptoms may be nonspecific or atypical. Because their sensitivity and specificity are limited, the various imaging techniques available serve only as adjuncts to history taking and physical examination. Prompt initiation of treatment is essential to reduce complications. Options range from conservative medical therapy to aggressive surgical intervention. Recently, ultrasound-guided percutaneous cholecystostomy has become a favored approach. Best treatment varies, depending on underlying disease and the patient's condition.
急性非结石性胆囊炎的发病率和死亡率都很高，但如果能早期发现，恢复预后良好。早期发现需要仔细检查，因为其体征和症状可能不具有特异性或不典型。由于现有各种成像技术的敏感性和特异性有限，它们仅作为病史采集和体格检查的辅助手段。迅速开始治疗对于减少并发症至关重要。治疗选择范围从保守的药物治疗到积极的手术干预。最近，超声引导下经皮胆囊造瘘术已成为一种受欢迎的治疗方法。最佳治疗方法因基础疾病和患者状况而异。
