Đặc điểm lâm sàng, cận lâm sàng và các yếu tố tiên lượng hoại tử trong viêm túi mật cấp do sỏi

Study on 103 patients with acute calculous cholecystitis treated by laparoscopic cholecystectomy indicated that the main features of acute calculous cholecystitis were right hypochrondium or epigastrum pain (100 percent), gallbladder point(+) (100 percent) presented by thick-walled gallbladder or possitiv~ Murphy sign. fever (44,7 percent), increased white blood cell over 10,000 (55,3 percent), Sonography showed large GB size (86,4 percent), thickwalled gallbladder or - 4mm(87,4 percent) and Peri cholecystic fluid (12,6 percent). Per-operative pathological features of acute calculous cholecystitis were' lage GB, hydrops, oedematous GB wall and adhesions with around tissue. Prognostic factors for patients at increased risk for having gangrenous cholecystitis included age greater than 65 years, fever, large GB, tenderness on palpation in the right upper abdominal quadrant, stone impacted in the cystic duct on ultrasonography, elevation of SGOT, SGPT, Bilirubin and glucose in blood test.