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Cholecystitis knowledge

Method for treating cholecystitis

Date:2016-11-02 16:05:55 FROM: Browsing times:
        1 general treatment
The prevention and treatment of bacterial infections and complications, pay attention to food hygiene, to prevent the occurrence of parasitic disease of biliary tract, and active treatment of intestinal ascariasis. The daily life of restraint, pay attention to work and rest, suitable for cold temperature, optimistic mood and stool. Often keep the left side of the bed, is conducive to bile excretion. The disease if there are stones, or recurrent episodes, surgery may be considered. It should choose low fat meal, to reduce bile secretion, reduce the burden of gallbladder.
        2 drug therapy
        (1) acute cholecystitis of spasmolysis, analgesia use of atropine intramuscular injection, sublingual nitroglycerin, pethidine (Du Lengding), to relieve Oddi sphincter spasm and pain. The antibacterial antibiotic treatment is to prevent bacteremia and septic complications, usually to ampicillin (ampicillin), clindamycin (cleocin) and amino sugar glycoside combined application, or the second generation cephalosporin such as cefamandole (CMD) or cefuroxime in the treatment of. The replacement of antibiotics should be based on the bacterial culture of bile culture and gallbladder wall during the operation, as well as the results of drug sensitivity tests. The choleretic drug: 50% Magnesium Sulfate (oral without diarrhea), Dehydrocholic Acid Tablets oral tablets, cholic acid.
        (2) drug chronic cholecystitis Lidan oral acid magnesium, Dehydrocholic Acid Tablets and other 50% cuban. The anthelmintic therapy aiming at the cause of the insect. The dissolution therapy for cholesterol gallstone caused, available chenodeoxycholic acid dissolution therapy. Reported in the literature, the dissolution rate of rock is about 60%. After the end of the course of treatment still need to maintain the quantity, in order to prevent the recurrence of.
        (3) rational use of proprietary Chinese medicine Jindan tablet: xiaoyanlidan. Used for acute and chronic cholecystitis. The qingganlidan oral liquid function: clearing damp heat in liver and gallbladder. The hypochondriac pain, anorexia, fatigue, yellow urine, greasy moss, pulse string, liver qi stagnation, liver and gallbladder disease such as not clear.
        3 surgical treatment
Cholecystectomy is the basic treatment of acute cholecystitis. Indications: gallbladder gangrene and perforation complicated with diffuse peritonitis; acute cholecystitis repeated acute, clear diagnosis; the active medical treatment, the disease continues to development and deterioration; and no surgical contraindications, and tolerance of operation. Chronic cholecystitis cholelithiasis; diagnosis by establishing cholecystectomy is the fundamental treatment of a reasonable. If the patient has heart, liver, lung and other serious diseases or systemic conditions can not tolerate surgery, can be treated by internal medicine.

 

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