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编辑同志: 现将我院1986—1992年50例慢性胆囊炎急性发作住院患者末梢血白细胞变化的观察结果报告如下。 临床资料:男20例,女30例;年龄在20—84岁,平均52岁。主要证状:上腹闷胀隐痛(76%),上腹剧痛或绞痛(20%),食欲减退伴呕吐(16%),发热(38%)—体温以腋下37C为对比标准,莫菲氏征阳性(90%)。 诊断依据:50例中32例B超检查有不同程度胆囊壁增厚,胆囊缩小或膨大。11例胆囊造影显示胆囊变形,收缩功能不良。并发现3例胆结石,5例手术证实为慢性胆囊炎并发胆结石。2例CT证实胆囊缩小变形。
Editor comrades: Now in our hospital 1986-1992 50 cases of acute cholecystitis in patients with acute peripheral blood leukocyte changes in the observation results are reported below. Clinical data: 20 males and 30 females; aged 20-84 years, mean 52 years old. The main symptoms: upper abdominal dullness and pain (76%), abdominal pain or colic (20%), loss of appetite with vomiting (16%), fever (38%) - temperature axillary 37C as the standard, Murphy’s sign positive (90%). Diagnosis is based on: 50 cases of 32 cases of B-ultrasound have varying degrees of gallbladder wall thickening, gallbladder shrink or enlargement. 11 cases of gallbladder angiography showed gallbladder deformation, systolic dysfunction. And found 3 cases of gallstones, 5 cases of surgery confirmed chronic cholecystitis complicated by gallstones. Two cases of CT confirmed gallbladder shrinkage.