Romero Ganuza F J, La Banda G, Montalvo R, Mazaira J
Department of Internal Medicine, National Hospital for Paraplegics-Toledo Finca, La Peraleda, Spain.
Spinal Cord. 1997 Feb;35(2):124-8. doi: 10.1038/sj.sc.3100360.
Acute acalculous cholecystitis (AAC) is a very serious complication which can be found in patients with multiple serious traumatic lesions ('polytrauma'). Very few patients have been reported in the literature with an acute spinal injury and associated AAC. We report seven patients with polytrauma and acute spinal cord injury who developed AAC. All had no complaint of the principal warning symptom: right upper quadrant abdominal pain. All presented with a palpable mass in this site and the laboratory results were compatible with cholestasis. The diagnosis of AAC was confirmed both by ultra sound and CT scanning. We discuss the possible precipitating factors and the treatment. One hundred and ninety one patients were admitted to the Intensive Care Unit in our Hospital with SCI over a period of 2 years, all of these in the acute stage. AAC was diagnosed in seven patients among them. Our purpose is to call attention to this clinical condition which can complicate the outcome of patients with multiple trauma and acute spinal cord injury. To date AAC in this group of patients has been infrequently described in the available literature.
急性非结石性胆囊炎（AAC）是一种非常严重的并发症，多见于患有多种严重创伤性损伤（“多发伤”）的患者。文献中报道的合并急性脊柱损伤及相关AAC的患者极少。我们报告7例发生AAC的多发伤合并急性脊髓损伤患者。所有患者均无主要警示症状：右上腹疼痛。所有患者该部位均有可触及肿块，实验室检查结果与胆汁淤积相符。AAC诊断经超声和CT扫描证实。我们讨论了可能的诱发因素及治疗方法。在两年时间里，我院重症监护病房共收治191例急性脊髓损伤患者，均处于急性期。其中7例诊断为AAC。我们旨在提醒注意这种可能使多发伤和急性脊髓损伤患者病情复杂化的临床情况。迄今为止，现有文献中对该组患者的AAC鲜有描述。
