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急性胆囊炎为临床常见的急腹症之一,是由结石梗阻、细菌感染、胰液反流等原因所致的一种化脓性炎症。临床主要表现为右上腹痛、胆囊区压痛,少数患者可触及包块,可伴有发热、恶心、呕吐。实验室检查白细胞及中性粒细胞升高,结合超声学改变,可做出准确诊断,并易于肝硬化、心脏衰竭、肾脏疾病、急性肝炎等引起的胆囊壁增厚相鉴别[1]。
Acute cholecystitis is one of the most common acute abdomen diseases in clinical practice. It is a suppurative inflammation caused by stone obstruction, bacterial infection and pancreatic fluid reflux. Clinical manifestations of right upper quadrant pain, gallbladder area tenderness, a few patients can reach mass, may be associated with fever, nausea, vomiting. Laboratory tests leukocytes and neutrophils increased, combined with ultrasound changes, can make an accurate diagnosis, and easy to cirrhosis, heart failure, kidney disease, acute hepatitis caused gallbladder wall thickening phase identification [1].