医
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发烧、小指指甲有凹陷、腹痛、胆囊壁厚、胆囊触痛征、突发性疼痛、恶心、胆绞痛、右背部痛
Acute cholecystitis is acute inflammation of gallbladder, usually from cystic-duct obstruction by stone, presenting with RUQ pain, fever, Murphy sign, and leukocytosis. Treatment: NPO; IV fluids/electrolytes; analgesics (NSAIDs/opioids); broad-spectrum antibiotics; early laparoscopic cholecystectomy (within 72h) if stable; percutaneous cholecystostomy if high surgical risk; monitor for gangrene/perforation; treat underlying cholelithiasis; follow-up.
RUQ pain; fever; Murphy sign; leukocytosis; by cystic-duct obstruction
Impacted gallstone obstructs cystic duct causing chemical/bacterial inflammation.
NPO/IV fluids/analgesics/antibiotics; early cholecystectomy; cholecystostomy if high-risk
Elective cholecystectomy for symptomatic gallstones.
It is recommended to visit the Hepatobiliary-surgery/Emergency/Gastroenterology department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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