Ottinger L W
Ann Surg. 1976 Aug;184(2):162-5. doi: 10.1097/00000658-197608000-00004.
The clinical course and management of 40 patients who underwent operation for acute cholecystitis developing as a postoperative complication were reviewed. Of note was the mortality of 47%, the high incidence of gangrene, perforation, empyema, and cholangitis, and the atypical clinical presentation of acute cholecystitis under these conditions. Awareness of this possible complication, knowledge of its clinical features, and early surgical intervention are important facets of successful management.
回顾了40例因术后并发症而接受急性胆囊炎手术患者的临床病程及治疗情况。值得注意的是,死亡率为47%,坏疽、穿孔、积脓和胆管炎的发生率较高,以及在这些情况下急性胆囊炎的非典型临床表现。认识到这种可能的并发症、了解其临床特征以及早期手术干预是成功治疗的重要方面。