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已知无胆石性胆囊炎可由单核细胞增多性李司忒氏菌、巨细胞病毒、隐孢子虫、大肠杆菌、梭状芽胞杆菌及伤寒沙门氏菌的原发性感染引起,而本文报道的1例急性无胆石性胆囊炎患者是由霍乱弧菌所致。 患者为57岁女性,1993年4月2日因呕吐、腹泻(48小时内40次)、弥漫性腹痛、少尿及右腿痉挛性疼痛2天入院。体温37℃,脉率104次/分,血压130/60mmHg,红细胞压积0.41,血色素147g/L,白细胞10.3×10~9/L(中性87％),血糖8.4mmol/L,肌酸酐123μmol/L,血清钠141mmol/L,钾2.38mmol/L。粪便镜检与培养均检
Achyloch cholecystitis is known to be caused by the primary infection of Listeria monocytogenes, cytomegalovirus, Cryptosporidium, Escherichia coli, Clostridium, and Salmonella typhi, whereas one case reported in this article Acute gallstone cholecystitis is caused by Vibrio cholerae. The patient was 57 years old and was admitted to hospital on 2 April 1993 for vomiting, diarrhea (40 times in 48 hours), diffuse abdominal pain, oliguria and right leg spastic pain. Body temperature 37 ℃, pulse rate 104 beats / min, blood pressure 130 / 60mmHg, hematocrit 0.41, hemoglobin 147g / L, leukocyte 10.3 × 10-9 / L (neutral 87%), blood glucose 8.4mmol / L, creatinine 123μmol / L, serum sodium 141mmol / L, potassium 2.38mmol / L. Stool microscopy and culture were seized