原创力文档- 1、本文档共48页，可阅读全部内容。
- 2、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。
- 3、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击 这里二次下载。
- 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
Cholecystitis[,k?l?s?sta?t?s]
1
OVERVIEWCholecystitis,acommonconditionusuallyresultingfromcomplicationsofcholelithiasis,kɑl?l?θa??s?s],occursintwoforms,acuteandchronic.2
Acutecholecystitisrequiresurgentintervention,typicallywithantibioticsfollowedbycholecystectomy[k?l?s?s‘tekt?m?].Inthesettingofacutecholecystitis,cholecystectomyisoptimallyperformedsoonafterthediagnosisismade.Ifurgentcholecystectomyisnotfeasible,operationcanbedelayeduntilaftertheacuteepisodehasresolved,andthentheoperationmaybeperformedelectively,providedthattheacuteprocesscanbecontrolled,andthesymptomsresolve[r?’z?lv].3
Chroniccholecystitisisthemanifestationofongoing,intermittentinflammationorso-calledbiliarycolic.Patientswiththisconditionbenefitsymptomaticallyfromelectivecholecystectomy.Alesscommonversionofcholecystitisisacuteacalculouscholecystitis,whichoccursmostoftenincriticallyillpatients.Althoughgallstonesare,bydefinition,absentinthiscondition,cholecystectomyspecimensinpatientswithacuteacalculouscholecystitisoftenrevealbiliarysludge.4
AnatomyofGallbladder5
Thegallbladderisareservoir‘rez?vwɑ:(r)]locatedontheundersurfaceoftherightoftheliver,withinthecysticfossa(胆囊窝);itisseparatedfromthehepaticparenchyma[p?re?k?m?]bythecysticplate,whichiscomposedofconnectivetissuecloselyappliedtotheGlissoncapsuleandelongatingthehilarplate.Sometimesthegallbladderisdeeplyembeddedintheliver,butoccasionallyitoccursonamesentericattachmentandmaybesusceptibletovolvulus[v?lvj?l?s].6
Anatomyoftheplatesystem.A,Cysticplate,abovethegallbladder.B,Hilarplate,abovethebiliaryconfluenceandatthebaseofthequadratelobe.C,Umbilicalplate,abovetheumbilicalportionoftheportalvein.Large,curvingarrowsindicatetheplaneofdissectionofthecysticplate
文档评论（0）