Symptomatic manifestations of acute calculous cholecystitis
Acute calculous cholecystitis is a relatively rare disease in our daily life and clinical medicine, but we must not ignore the harm of this disease. This disease is acute, so it is important to treat it promptly. Moreover, the cause of this disease has not yet been clarified, which brings certain difficulties to our prevention and treatment.
pathogen
Acute common causative factor is cystic duct obstruction, about 80% of patients are caused by gallstones, when cystic duct obstruction, bile concentration, high concentration of bile will damage the gallbladder mucosal epithelium, causing inflammatory changes. There are also some patients who are invaded by pathogenic bacteria, most of which invade the gallbladder through retrograde biliary tract. The pathogenic bacteria are mainly Escherichia coli, aerogenic bacillus and Pseudomonas aeruginosa.
If it is co-infected with gas-producing anaerobic bacteria, it will cause acute emphysema. A small percentage of acute cases are due to trauma or chemical irritation. When severe trauma and major surgery, the contractile function of the gallbladder decreases, cholestasis increases, bile acid concentration increases, stimulates the gallbladder mucosa and causes disease, and when infected, pancreatic juice can reflux into the gallbladder and cause acute noncalculus.
Clinical presentation
The main symptoms of acute calculous cholecystitis include right upper quadrant pain, nausea, vomiting, and fever. Acute calculous cholecystitis can cause pain in the upper right quadrant, which is very similar to biliary colic at first, but the abdominal pain caused by acute calculous cholecystitis often lasts for a long time, and the pain is often aggravated by breathing and changing body position, so patients prefer to lie still on the right side to relieve abdominal pain.
Some patients experience nausea and vomiting, but the vomiting is usually not intense. Most patients are also accompanied by fever, the body temperature is usually between 38.0°C~38.5°C, high fever and chills are rare. A small number of patients also have mild yellowing of the whites of the eyes and skin.
examine
1. The total number of white blood cells is 10X109/L, and the nucleus is shifted to the left.
2. Positive stones can be seen in the gallbladder area on abdominal X-ray.
3. B-ULTRASOUND EXAMINATION SHOWED THAT THE GALLBLADDER WAS ENLARGED, WITH A WALL THICKNESS OF 3.5MM, AND THERE WAS A STRONG LIGHT CLUSTER ACCOMPANIED BY SOUND AND SHADOW.
4. Intravenous cholangiography gallbladder is not visible.
5. CT or MRI shows gallstones.
What do we need to do now to prevent and diagnose this acute calculous cholecystitis disease in a timely and effective manner? The above text gives us a detailed and scientific introduction to the relevant knowledge of this disease, and we can also learn a lot of prevention and control methods and measures from it, which provides us with a scientific tool to avoid this disease, so that we can resist the invasion of this disease and protect our own health.