对病情危重且存在其他严重疾病的病人来说,急性胆囊炎处理非常困难:非手术者30％会恶化,而急症胆囊切除的病残率和死亡率又很高,胆囊造口术的死亡率相当高。超声引导下经皮胆囊造口术为一安全有效的措施,但留置导管可引起并发症。本文报道急性胆囊炎的危重病人在超声引导下经皮单纯穿刺胆囊的即时和远期结果。 病人和方法:1989.12月～1991.9月期间,对18 Acute cholecystitis is very difficult to treat in critically ill patients with other serious illnesses: 30% of non-operative patients deteriorate, and the morbidity and mortality of acute cholecystectomy are very high. The mortality of cholecystectomy Very high. Ultrasound-guided percutaneous cholecystectomy is a safe and effective measure, but indwelling catheter can cause complications. This article reports immediate and long-term results of percutaneous transhepatic puncture of the gallbladder under the guidance of ultrasound in critically ill patients with acute cholecystitis. Patients and Methods: Between December 1989 and September 1991, against 18