Acute cholecystitis with perforation into the peritoneal cavity.
Acute cholecystitis with perforation into the peritoneal cavity.
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急性胆囊炎并穿孔进入腹膜腔。
DOI：
10.1001/archsurg.1971.01350020018005
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发表时间：
1971
影响因子：
--
通讯作者：
I. Urca
中科院分区：
文献类型：
--
作者：
J. Abu;I. Urca
在1960年至1968年期间，以色列特拉维夫Beilinson医院收治了23例急性胆囊炎伴腹膜腔自由穿孔的患者。1960年以前，胆囊穿孔在我们地区是罕见的，因此在此期间，并发症在立即手术的指征中没有作用。然而，从1960年起，病例数量出现了无法解释的显著增加。23例患者中有20例年龄超过50岁。一半以上没有石头，大多数是男人。21例患者接受了手术，无死亡。因此，我们建议所有老年急性胆囊炎患者早期胆囊切除术。
Twenty-three patients with acute inflammation of the gallbladder with free perforation into the peritoneal cavity were admitted to the Beilinson Hospital, Tel Aviv, Israel, during the years 1960 to 1968. Gallbladder perforation was rare in our area prior to 1960, so that during the period that complication played no role in the indication for immediate operation. From 1960 on, however, a significant unexplained increase in the number of cases has occurred. Twenty of the 23 patients were over 50 years of age. More than half had no stones, and the majority were men. Twenty-one were operated upon without mortality. We therefore recommend early cholecystectomy in all older patients with acute cholecystitis.