1.2. About 70% of the bacteria causing acute cholecystitis are Escherichia coli, and the others are Klebsiella, Clostridium, Staphylococcus, typhoid bacillus, paratyphoid bacillus, Streptococcus, and pneumococcus.
The route of bacterial invasion usually passes through bile or lymphatic vessels, and sometimes it can also be retrograde into biliary tract or blood source through intestinal tract.
1.3. Other causes: there were a few cases with no bile retention or bacterial infection, which were other causes.
Trauma, including surgery and burns, can lead to acute cholecystitis.
2. What is gall bladder swelling, gallbladder enlargement may be caused by cholecystitis, patients with acute cholecystitis with gallbladder ultrasound examination often found gallbladder enlargement, wall thickening, gallstones.
About 95% of patients with gallstones, known as calculous cholecystitis; 5% of patients without gallbladder stones, known as non calculous cholecystitis.
3. Which diseases can lead to gallbladder enlargement 3.1, simple cholecystitis belongs to the lightest type.
It is characterized by slight enlargement of gallbladder, congestion of cyst wall, edema of mucous membrane and slight thickening of cyst wall. The bile is thick with slight turbidity or no obvious abnormality observed by naked eyes. Under microscope, leukocyte infiltration and mucosal epithelial shedding can be seen, but bacterial culture is often negative.
3.2. In suppurative cholecystitis, the gallbladder is obviously enlarged due to the obstruction of the cystic duct, which is blue-green or grayish red, the wall of the cyst is congested and hypertrophic, and the blood vessels in the serosa layer are dilated; there are often purulent cellulose deposits on the surface of the gallbladder, and ulcers can be formed on the mucosal membrane, and the whole gallbladder is filled with pus.
Microscopically, a large number of monocytes infiltrated, bilirubin calcium precipitated and cholesterol crystallized.
These changes can eventually lead to gallbladder perforation and even internal fistula between gallbladder and duodenum.
How to treat gall bladder enlargement? 1. Non operative method for acute simple cholecystitis with mild symptoms can be considered to control inflammation with non-surgical therapy first, and then carry out selective operation after further finding out the condition.
This method includes spasmolysis and analgesia, application of antibiotics, correction of water electrolyte and acid-base imbalance, and systemic supportive therapy.
During the period of non-surgical treatment, we must closely observe the changes of the condition. If the symptoms and signs develop, we should change to surgical treatment in time.
2. There are two kinds of surgical methods, one is cholecystectomy, the other is cholecystostomy. It is mainly used in some elderly patients with poor general condition or with serious cardiopulmonary disease. It is estimated that non-surgical therapy is recommended for those who can not tolerate cholecystectomy.
Eat more vegetables and fruits, such as spinach, leek, celery, apple, banana, etc.
Eat lean meat, fish, chicken and bean products.
Avoid high cholesterol foods, such as animal heart, liver, brain, intestine, egg yolk, Songhua egg, roe, chocolate, etc.
Avoid spicy and stimulating condiments, such as pepper, pepper powder, curry powder, etc.
Avoid smoking, alcohol, coffee, to avoid its stimulation of the biliary sphincter, so that the biliary sphincter spasm, thus difficult bile discharge.
1.2、细菌感染 引起急性胆囊炎的细菌大约70%为大肠埃希杆菌,其他的有克雷白杆菌、梭状芽孢杆菌、葡萄球菌、伤寒杆菌、副伤寒杆菌、链球菌,还有肺炎球菌等。1.2. About 70%
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