Efficacy Analysis Of Young And Middle-aged Acute Acalculous Cholecystitis Of Conservative Treatment In 48 Cases

Aims:At present, young and middle-aged acute acalculous cholecystitis in all aspects of the clinical diagnosis and treatment effect on opinion did not reach a consensus in our country, the purpose of this clinical study was to investigate young a acute acalculous cholecystitis conservative treatment method and effect, and provide effective basis for the clinical diagnosis and treatment of the disease.Methods:Retrospective analysis of clinical data were Lanzhou University First Hospital 48 cases of middle-aged and young patients with acute acalculous cholecystitis in June 2012 June 2013 period. All patients were treated conservatively AAC, including bed rest, fast water, anti-infection treatment,acid suppression, suppression enzymes, liver treatment, nutritional therapy and other treatment, if necessary, make decompression treatment process can be timely to give Chinese medicine, Herbal Treatment. Severe abdominal pain may be given antispasmodic agents and analgesics, such as atropine sulfate injection, anisodamine injection, meperidine, bucinnazine hydrochloride injection, in the course of non-surgical treatment of all patients had no surgical treatment, treatment process observation patient’s condition closely and timely adjust the treatment plan.Results:The final results of clinical conservative treatment is to cure 32 patients,15 patients show treatment is effective, patients died after treatment one case, the results of the entire treatment of the effective ratio of 97.9%.Occurred in the process of the treatment of 4 patients with pulmonary infection, after quinolone classes and the conservative therapy such as the third generation cephalosporins combination 15 d recovered after treatment; Patients with abdominal empyema occurred in 2 cases, among them 1 case after 9 days continue conservative treatment condition improved, eventually recovered is treatment; Another one cases of hypertension,glycuresis, the first five days of conservative treatment gangrene secondary to gallbladder perforation, in the eighth day died of septic shock and multiple organ failure. All patients with non-surgical treatment, the case of 47 patients without intestinal obstruction, hepatic failure, renal failure,only patients died of hepatic and renal function without performance.Conclusions:Middle-aged and young patients with acute acalculous cholecystitis retain the desire of the gallbladder relatively older patients. After the hospital patients clinical data analysis 48 cases of acute acalculous cholecystitis conservative treatment of middle-aged and young effect is exact, patients with this disease can be completely cured, were less likely to relapse again of cholecystitis after cure, basically achieve expected to cure effect, and can keep the gallbladder, Gallbladder can play a physiological role in the normal operation of the whole organism, also avoid the psychological distress caused by the removal of the gallbladder to patients.