Ⅱ型胆囊穿孔致肝脓肿3例报告并文献复习
Journal of Clinical Hepatology（2022）
Abstract
胆囊穿孔是临床上较为危重且少见的一种疾病,Niemeier胆囊穿孔[1]分为以下三型:Ⅰ型为急性胆囊穿孔,胆汁外渗至腹腔,造成弥漫性腹膜炎;Ⅱ型为亚急性胆囊穿孔,形成胆囊周围脓肿,表现为局部腹膜刺激症;Ⅲ型为慢性胆囊穿孔,长时间的炎症,造成胆囊与周围脏器之间形成内漏.胆囊穿孔致肝脓肿在临床上较为罕见,临床表现不典型,容易误诊及漏诊[2],其治疗尚无规范可循.现将本院收治3 例Ⅱ型胆囊穿孔致肝脓肿并文献回顾报告如下,以期提高收治水.
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