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目的探讨急性非结石性胆囊炎的诊治方法。方法对1997-2007年间收治的23例急性非结石性胆囊炎患者的临床资料进行回顾分析。结果23例手术治疗,其中胆囊切除20例,胆囊造瘘2例,胆囊切除+胆囊切除胆总管探查T管引流术1例。治愈22例,死亡1例。结论急性非结石性胆囊炎其病情急、进展快、临床表现不典型。早期诊断和及时手术治疗是提高其治愈率和降低病死率的关键。
Objective To investigate the diagnosis and treatment of acute acalculous cholecystitis. Methods The clinical data of 23 patients with acute acalculous cholecystitis admitted during 1997-2007 were retrospectively analyzed. Results Twenty-three cases were treated by cholecystectomy, including 20 cases of cholecystectomy, 2 cases of cholecystostomy, and 1 case of cholecystectomy and cholecystectomy. 22 cases were cured and 1 died. Conclusions Acute acalculous cholecystitis has acute and rapid progression, and its clinical manifestations are not typical. Early diagnosis and timely surgical treatment is to improve the cure rate and reduce the mortality of the key.