Bandettini L, Magrini L, Nesi S, Marranci M, Mori S, Pace M
Cattedra di Chirurgia d'Urgenza, Istituto Clinica Chirurgica I, Università degli Studi di Firenze.
Ann Ital Chir. 1997 May-Jun;68(3):361-72; discussion 372-4.
The acute acalculous cholecystitis (A.A.C.) is a disease with high rates of morbidity and mortality and risk and promoting factors are very important. Pathogenesis has not completely explained, diagnosis is difficult, and there is no agreement on the more effective therapy. The authors present two cases of A.A.C. and one case of not true A.A.C., discuss them and conclude: 1. Parietal ischemia of gallbladder is the most important factor in the pathogenesis. 2. No many diagnostic procedures are necessary if one stress patient's history and clinical findings. 3. The emergency cholecystectomy is the best effective therapeutic procedure and only in selected cases the not invasive procedures are usefull.
急性非结石性胆囊炎（A.A.C.）是一种发病率和死亡率较高的疾病，其危险因素和促发因素非常重要。发病机制尚未完全阐明，诊断困难，对于哪种治疗方法更有效也没有共识。作者介绍了两例急性非结石性胆囊炎病例和一例非真正的急性非结石性胆囊炎病例，对其进行讨论并得出结论：1. 胆囊壁缺血是发病机制中最重要的因素。2. 如果重视患者的病史和临床表现，无需进行太多诊断程序。3. 急诊胆囊切除术是最有效的治疗方法，仅在特定情况下非侵入性治疗方法才有用。
