急性结石嵌顿性胆囊炎致胆囊穿孔、肝脓肿及活动性出血1例
Chinese Journal of Medical Imaging Technology（2019）
Abstract
患者女,58岁,因“右上腹痛1天,加重3h”入院.查体:全腹压痛,以右上腹为主,伴轻度反跳痛.实验室检查:白细胞4.68×109/L,红细胞4.01×1012/L,血红蛋白116 g/L,CA19-9985.30 U/ml.超声示胆囊增大,胆囊颈部强回声伴后方声影,胆囊壁增厚,胆囊腔内见絮状低回声,胆囊窝区探及混合性回声.临床初诊结石性胆囊炎,胆囊肿瘤待排;予抗感染+维持电解质平衡+对症支持治疗.
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