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目的探讨急性非结石性胆囊炎的病因、临床特点及诊治要点。方法对我院1998年2月至2006年5月期间收治的35例急性非结石性胆囊炎患者的临床资料进行回顾性分析。结果本组病例中,手术治疗35例;单纯性胆囊炎5例,蜂窝织炎性胆囊炎12例,坏疽性胆囊炎18例,其中穿孔合并腹膜炎12例。治愈34例,治愈率97.1%;死亡1例,死亡率2.9%。结论加强围手术期处理,早期诊断和及时进行手术治疗能改善其预后。
Objective To investigate the etiology, clinical features and diagnosis and treatment of acute acalculous cholecystitis. Methods The clinical data of 35 patients with acute acalculous cholecystitis admitted to our hospital from February 1998 to May 2006 were analyzed retrospectively. Results In this group of patients, 35 cases were treated by surgery; 5 cases of simple cholecystitis, 12 cases of cellulitis cholecystitis and 18 cases of gangrenous cholecystitis, including 12 cases of perforation and peritonitis. 34 cases were cured, the cure rate was 97.1%; 1 died, the mortality rate was 2.9%. Conclusion Perioperative management, early diagnosis and timely surgical treatment can improve prognosis.