Preface
With the improvement of material life and the increase of working pressure, the incidence rate of cholecystitis has been increasing in recent years. It has become a common and frequently occurring disease in the outpatient department of gastroenterology and surgery.
Cholecystitis is often associated with cholelithiasis, which can lead to repeated attacks of biliary colic, as well as biliary tract infection, biliary obstruction, biliary stricture and other complications. The incidence rate of acute suppurative cholecystitis, gangrenous cholecystitis, acute emphysematous cholecystitis, Mirizzi syndrome, Bouveret syndrome and gallbladder perforation is low, but the disease is serious and often endangers the life of patients.
Cholelithiasis is one of the common surgical acute abdomen, which is a kind of disease that clinicians, especially general practitioners, are exposed to. Its etiology is complex, the condition is complex and changeable, in the actual process of diagnosis and treatment often produce more doubts, the development of the disease can not be effectively controlled, easy to cause further aggravation of the disease, and cause serious complications, even life-threatening.
Although it has been carefully compiled, but after all, the level is limited, there are inevitably deficiencies and even errors, we sincerely ask the readers for criticism and correction.
前 言
随着物质生活水平的提高和工作压力的增大,胆囊炎的发病率近年来呈上升趋势,已成为消化科和外科门诊的常见病、多发病。
胆囊炎常合并胆石症,可引发反复发作的胆绞痛,还会发生胆道感染、胆道梗阻、胆道狭窄等并发症。急性化脓性胆囊炎、坏疽性胆囊炎、急性气肿性胆囊炎、Mirizzi 综合征、 Bouveret 综合征、胆囊穿孔等并发症发病率虽然较低,但病情严重,常常危及患者生命,应引起重视。
胆石症是常见的外科急腹症之一,是临床医师尤其是普外科医师接触较多的一类疾病。其病因繁杂,病情复杂多变,在实际诊疗操作过程中往往会产生较多的疑惑,对疾病发展过程无法进行有效地控制,容易造成病情进一步加重,并引起严重的并发症,甚至危及生命。
虽然进行了精心编写,但是毕竟水平有限,难免有不足甚至错误之处,恳请广大读者批评指正。
Hai-Ping Wang, male, the Han nationality, bachelor’s degree, assistant director physician of surgery of traditional Chinese medicine. He graduated from medical department of Shaanxi University of Chinese Medicine. He works in surgery department of Shaanxi Traditional Chinese Medicine Hospital at present. He has 24 years of clinical work experience. He is good at the diagnosis of common diseases and frequently occurring diseases in general surgery, surgery and integrated treatment of traditional Chinese and Western medicine. He has accumulated rich experience in the treatment of thromboangiitis obliterans, limb arteriosclerosis obliterans and other diseases with traditional Chinese medicine. In 2016, he won the title of “The First Batch of Excellent Clinical Talents of Traditional Chinese Medicine in Shaanxi Province”, wrote 5 academic papers and published 1 paper in SCI journals. He is now a member and deputy secretary general of the Fifth Surgical Committee of Shaanxi Branch of China Association of Chinese Medicine.
王海平 ,男,汉族,大学本科学历,中医外科副主任医师。毕业于陕西中医学院医疗系, 现在陕西省中医医院外科工作, 有 24 年临床工作经验, 擅长普通外科常见病,多发病的诊断,手术及中西医结合治疗,在中医药治疗血栓闭塞性脉管炎,肢体动脉硬化闭塞症等疾病方面积累了丰富的经验。 2016 年获得“陕西省首批优秀中医临床人才”称号,撰写学术论文 5 篇, SCI 期刊发表论文 1 篇。现任中华中医药学会陕西分会第五届外科专业委员会委员,副秘书长。