In 58 patients who were admitted to department of internal medicine, ChungNam national university hospital from January 1989 to March, 1993.
We evaluated for medical treatments and the following results were obtained.
1) The ratio of male and female...
In 58 patients who were admitted to department of internal medicine, ChungNam national university hospital from January 1989 to March, 1993.
We evaluated for medical treatments and the following results were obtained.
1) The ratio of male and female was 1 : 1 and mean age of the patients was 57.4 years.
2) At arrival on hospital, the most common clinical symptom was pain in right upper quadrant and epigastrium(93.1%), the remainders were fever and chill(79.3%), nausea(51.7%) and vomiting(36.2 %) in order of frequency.
3) The most common physical findings was tenderness on the right upper quadrant and epaigastrium(98%), the remainders were jaundice(50%) and palpable gall bladder(13.8%) in order of freguency.
4) In laboratory examination, elevated levels of ESR(82.8%), leukocytosis(67.2%), elevated levels of AST(62.0%), ALT(50.0%), serum total bilirubin(51.7%) and alkaline phosphatase (43.1%) were noted.
5) The mean period of NPO was 3.9 days and the mean hospital period was 13.5 days.
6) The rates of combined complications in patients with acute cholecystitis were 17.2%; these are gall bladder empyema(5.2%), hydrops(5.2%), perforation(3.4%), sepsis(3.4%) and intestinal obstruction (1.7%).
7) In 96.6 percent of 58 cases, the symptoms of acute cholecystitis were improved by conservative management.
8) The mean follow-up period was 25.5 months and the recurrence rate was 10% during this period.