急性非结石性胆囊炎诊治探讨
急性胆囊炎,非结石性；诊断；治疗,,急性胆囊炎，非结石性；诊断；治疗,【摘要】,【关键词】,1临床资料,2结果,3讨论,【参考文献】
【摘要】 目的 探讨急性非结石性胆囊炎(AAC)的病因、临床特点及诊治经验。方法 对我院1990年1月～2005年12月年间收治的23例AAC患者的临床资料进行回顾性分析。结果 21例行手术治疗，2例行保守治疗。其中胆囊切除16例，胆囊造瘘3例，胆囊大部分切除1例，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 AAC起病急、进展快，病因复杂。提高对AAC的认识有重要的临床意义，早期诊断和及时治疗是提高其治愈率和降低病死率的关键。【关键词】 急性胆囊炎，非结石性；诊断；治疗
Diagnosis and treatment of acute acalculous cholecystitis
REN Qiusheng,WANG Jianqiu.Department of General Surgery,Jiading District TCM Hospital,Shanghai 201800,China
【Abstract】 Objective To investigate the cause,clinical characteristics,diagnosis and treatment of acute acalculous cholecystitis(AAC).Methods 23 cases of AAC which were treated from January 1990 to December 2005 were analyzed retrospectively.Results Among them 21 cases were treated operatively and 2 cases were treated nonoperatively.Cholecystectomy was performed in 16 patients,cholecystostomy in 3,subtotal cholecystectomy in 1.Of them 22 were cured and one died.Conclusion AAC is very urgent and fast.The cause is very complication.Surgeon should pay more attention to AAC.The early diagnosis and treatment in time are the key to improve the rate of cure and reduce the mortality. ......
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