MRCP in the diagnosis and treatment of acute cholecystitis with patients with abnormal liver function values.doc

 PAGE \* MERGEFORMAT 3 MRCP in the diagnosis and treatment of acute cholecystitis with patients with abnormal liver function values [Keywords:] MRCP acute cholecystitis with abnormal liver function Acute cholecystitis (acute cholecystitis, AC) is a common disease surgery, there are more cases complicated with abnormal liver function is required for the appropriate treatment for the cause [1]. The author’s 197 cases of patients with hepatic dysfunction AC magnetic resonance cholangiopancreatography (magnetic resonance cholan-giopancreatography, MRCP) examination gave indications for analysis and research reports are summarized below. 1 Data and methods 1.1 General information from January 2002 to February 2007 the Fourth People’s Hospital, Zhuji City, AC surgical admissions in patients with hepatic dysfunction 197 cases, 87 cases were male, female 110 cases, aged 27 to 76 years old, mean age (48.53 ± 4.12 years). The diagnostic criteria of acute cholecystitis: right upper quadrant pain, tenderness, rebound tenderness, elevated white blood cell (15.80 * 109 / L ~ 22.75 * 109 / L), B super-prompt gallbladder with acute inflammatory changes. Which acalculous cholecystitis in 23 cases, swelling around the exudation cyst gangrene, 47 cases of incarcerated stones in the gallbladder neck, when 36 cases, all cases accompanied by abnormal liver function: bilirubin levels and / or elevated aminotransferases and / or alkaline phosphatase increased, liver function and Child score excluding [2] for the C-class patients. 1.2 Methods 1.2.1 direct bilirubin greater than the blood screening criteria 14umol / L, or alkaline phosphatase (alkaline phosphatase, AKP) is greater than 112U / L, or common bile duct diameter greater than 0.8cm. To do this three standard MRCP examination as a further indicator. 1.2.2 treatment of hepatitis virology ① routine examination, rule out the possibility due to hepatitis, abnormal liver function caused by drugs; ② those that meet the scr