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Objective To study the indiction of laparoscopic cholecystectomy for acute calculous cholecystitis.

探讨腹腔急性结胆囊手术指征、手术时机和手术技巧

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实习医 第2季

Mrs. Sorrento, you have acute cholecystitis, which means that your gallbladder may have to come out.

Sorrento 夫人,你得了急性囊炎这意味着你囊可能要被切掉。

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Almost all cases of acute cholecystitis though, about 90%, clear up after about a month and the gallstone dislodges.

但几乎所有急性囊炎病例,大概90%,都能够在一个月左右痊愈并排出石。

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Depending on the severity of the chronic cholecystitis, removal of the gallbladder might be needed even if it hasn't progressed to the porcelain state.

即使未发展至瓷化囊,根据慢性囊炎严重程度,患者也可能需要接受囊切除术。

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Signs and symptoms of gallstone ileus include abdominal distension from the blockage, as well as nausea and vomiting, and a history of recurrent right upper quadrant pain, which is consistent with the repeated inflammation of chronic cholecystitis.

石性肠梗阻症状和体征包括梗阻引胀、恶心、呕吐,反复发作右上痛史,这与慢性囊炎反复炎症症状一致

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Alright, as a quick recap: gallstone ileus is where repeated cholecystitis, or inflammation of the gallbladder, cause a cholecystoenteric fistula to form, allowing gallstones to travel to the small bowel and become lodged, which can lead to mechanical obstruction.

得!快速回顾一下:石性肠梗阻是由于反复发作囊炎囊炎性疾病,会导致囊肠道瘘形成,结石可由此直接进入小肠使其堵塞,引发机械性肠梗阻。

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