关键词: 急性非结石性胆囊炎, 损伤控制外科

Abstract:

Surgical treatment of acute acalculous cholecystitis                    LU Qi-ping，CAO Jun.  Department of General Surgery，Wuhan General Hospital of Guangzhou Military Command of PLA，Wuhan 430070，China
Corresponding author：LU Qi-ping，E-mail：ptwklqp111@163.com
Abstract    Acute acalculous cholecystitis is relatively rare in clinical practice and mainly occurs in special population. The clinical feature of acute acalculous cholecystitis includes acute onset，rapid progress，high incidence of gangrene and perforation of cholecyst accompany with high mortality. Early diagnosis and rational surgical intervene are closely related to the prognosis. Imaging examinations play important roles in diagnosis and computer tomography (CT) is the most preferred. Damage control surgery should be applied for acute acalculous cholecystitis. Surgical treatments including percutaneous transhepatic gallbladder drainage，laparoscopic cholecystectomy or open cholecystectomy should be chosen according to various patients, which can get satisfactory outcome.

Key words: acute acalculous cholecystitis, damage control surgery