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頁籤選單縮合
題 名 | 繼發於手術後之急性膽囊炎 |
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作 者 | 吳誠中; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 21:1 1988.01[民77.01] |
頁 次 | 頁69-74 |
分類號 | 416.247 |
關鍵詞 | 手術後; 急性膽囊炎; |
語 文 | 中文(Chinese) |
中文摘要 | 急性膽囊炎繼發於手術後的機會並不多,但死亡率却很高。台中榮總在過去4年間,共經驗12例手術後併發急性膽囊癌病患,皆接受手術治療。此12例中,3例伴有膽結石,9例無結石。術後至發生膽囊炎的期間為3-23天(平均15.3天)。其臨床表現大多沒有典型的膽囊炎徵候。腹部超音波或放射性鎝掃描檢查都可提供很好的診斷。手術中發現膽囊壞疽者8例,其中3例合併穿孔。3例接受膽囊造瘻,9例接受膽囊切除;術後發生併發症者有5例,其中3例死亡,死亡率達25%,診斷的延誤是導致高死亡率的主因。 我們建議:在平常剖腹探查手術中,發現有膽囊結石時,宜同時切除膽囊;而對正常膽囊,術中應儘量避免損傷營養膽囊之血管。任何手術後,病患有不明原因的發燒、腹痛、腹漲或黃疸者,須懷疑此症之可能,俾能據取適當之診治步驟。 |
英文摘要 | The incidence of acute cholecystitis following surgery is rare; however, the mortality is high. Among 277 cases of acute cholecystitis (AC) who underwent surgery at Veterans General Hospital-Taichung from October 1982 to September 1986, 12 cases had postoperative AC. Of these patients, three had gallstones whereas nine were acute acalculous cholecystitis. The interval between the operation and the attack of acute cholecystitis was 3 to 23 days (average 15.3 days). Their clinical symptoms and signs were non-specific, thus causing delayed diagnosis. Both abdominal sonography and cholescintigraphy offer informative clues for diagnosis. Eight gallbladders were found to be gangrenous, and three of those were perforated. Three patients received cholecystostomy and 9 patients underwent cholecystectomy. Postoperative complications occurred in five cases (41.6%); three of those died (mortality 25%). It is suggested: that: (1) concomitant cholecystectomy should be performed if gallstones are discovered during laparotomy; (2) the blood supply of a normal gallbladder should not be compromised in abdominal surgery and (3) a high suspecion of acute cholecystitis should be explored further after postoperative fever, abdominal pain, ileus or jaundice of unknown etiology to make early diagnosis and early treatment. |
本系統中英文摘要資訊取自各篇刊載內容。