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目的:探讨急性胆囊炎的临床诊断和治疗措施,总结临床诊治经验以提高水平。方法:回顾性分析2011年6月～2012年9月我科收入的47例急性胆囊炎患者的临床诊治情况。结果:经过积极诊断和治疗47例患者中行胆囊切除术者40例,保守治疗者5例,胆囊造口术者2例;术中见胆囊肿大者38例,胆囊积脓者4例;手术时间53～75分钟,术后1～2天后下床活动,术后1～3天排气,住院时间为6～14天。所有患者无胆管炎等并发症发生,无死亡患者。结论:急性胆囊炎患者应根据其病理及生理、病情进程、全身各重要器官功能等选择合适的治疗方式,患者常预后良好。
Objective: To investigate the clinical diagnosis and treatment of acute cholecystitis, summarize the experience of clinical diagnosis and treatment to improve the level. Methods: The clinical diagnosis and treatment of 47 cases of acute cholecystitis who received our department from June 2011 to September 2012 were retrospectively analyzed. Results: Forty-seven cases underwent cholecystectomy, conservative treatment in 5 cases and cholecystectomy in 47 cases, 38 cases of cystic enlargement, 4 cases of gallbladder empyema in operation, Time 53 to 75 minutes, 1 to 2 days after surgery out of bed, 1 to 3 days after the exhaust, hospitalization for 6 to 14 days. All patients without cholangitis and other complications, no deaths. Conclusion: Acute cholecystitis patients should choose the appropriate treatment according to their pathology and physiology, the course of the disease, the function of various vital organs and so on. The patients often have a good prognosis.