Heruti R J, Bar-On Z, Gofrit O, Weingarden H P, Ohry A
Department of Neurologic Rehabilitation, Chaim Sheba Medical Center, Jerusalem, Israel.
Arch Phys Med Rehabil. 1994 Jul;75(7):822-4.
Acute acalculous cholecystitis (AAC) is an uncommon, but serious, and potentially lethal complication that may occur among patients suffering severe trauma, including surgical trauma, burns, and bacterial sepsis. Because clinical findings are often nonspecific or misleading, AAC causes a particular diagnostic problem when occurring after unrelated surgery or trauma. We report two patients who suffered AAC following spinal cord injury (SCI). We review the etiology, diagnosis, and management of this disorder. Increased awareness of this problem by the physiatrist and rehabilitation community is important, because of the apparent increasing occurrence of AAC and the potential for significant morbidity and possible mortality when not promptly diagnosed.
急性非结石性胆囊炎（AAC）是一种不常见但严重且可能致命的并发症，可能发生在遭受严重创伤的患者中，包括手术创伤、烧伤和细菌性败血症。由于临床表现往往不具特异性或具有误导性，AAC在无关手术或创伤后发生时会引发特殊的诊断问题。我们报告了两名脊髓损伤（SCI）后发生AAC的患者。我们回顾了这种疾病的病因、诊断和治疗。由于AAC的发生率明显上升，以及若不及时诊断可能导致严重发病和死亡，因此物理医学与康复领域的医生提高对该问题的认识非常重要。
