急腹症中的罕见病-胆囊扭转12例的诊治体会 |
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引用本文: | 李都,李雪松,戈佳云.急腹症中的罕见病-胆囊扭转12例的诊治体会[J].临床医学工程,2011,18(3). |
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作者姓名: | 李都 李雪松 戈佳云 |
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作者单位: | 李都 (云南省昆明市富民县人民医院,云南,富民,650400) ; 李雪松 (云南省昆明市富民县人民医院,云南,富民,650400) ; 戈佳云 (云南省昆明市昆医附二院,肝胆外二科,云南,昆明,650101) ; |
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摘 要: | 目的探讨急腹症中的罕见病胆囊扭转的临床表现,早期诊断与治疗。方法回顾性分析本院1998年2月至2010年12月经手术证实12例胆囊扭转的临床资料。结果 7例胆囊扭转患者胆囊切除术后治愈出院,另5例中3例患者行胆囊造瘘术病情缓解二期再手术治愈,2例患者术后因多器官衰竭死亡。所有12例患者术前均误诊,误诊率100%。结论胆囊扭转无特殊的临床表现,术前确诊困难,早期手术治疗预后较好,术式以开腹胆囊切除术为好。
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关 键 词: | 急腹症 胆囊 扭转 |
Diagnosis and Treatment of a Rare Disease-gallbladder Volvulus among Acute Abdominal Diseases: a Report of 12 Cases |
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Abstract: | Objective To discuss the clinical features and early diagnosis and treatment of a rare disease-gallbladder volvulus among acute abdominal diseases.Method Retrospective analysis with clinical data about gallbladder volvulus made a definite diagnosis by operation from February 1998 to December 2010.Results 7 cases were cured after cholecystectomy,3 cases were cured by second operation after gallbladder fistulation again and remainder 2 cases died from multiple organ failure postoperative gallbladder fistulation.All the 12 cases were made error diagnosis before operation and roughly 100% incidence.Conclusion Owing to nonspecific feature,the diagnosis of gallbladder volvulus is very difficult to make.The better prognosis depends on early operation and suitable operation pattern-open laparocholecystectomy. |
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Keywords: | Acute abdominal diseases Gallbladder Volvulus |
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