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1 临床资料本组2例均为男性,年龄分别为33和57岁。1例为十二指肠球部溃疡合并幽门梗阻,1例为胃窦部腺癌。2例均行B-Ⅱ式胃次全切除术。2例分别于胃切除术后7天及13天并发急性化脓性胆囊炎,其中1例行胆囊切除T管引流术,另1例行胆囊造口术,2例均痊愈出院。 2 讨论胃次全切除术后并发急性化脓性胆囊炎诊断困难,本组2例误诊为十二指肠残端瘘和肝下间隙脓肿而行手术治疗,术中才发现为急性化脓性胆囊炎。此病多发
1 Clinical data The two patients were male, aged 33 and 57 respectively. 1 case of duodenal ulcer with pyloric obstruction, 1 case of gastric antrum adenocarcinoma. 2 cases were performed B-Ⅱ subtotal gastrectomy. 2 cases were treated with acute suppurative cholecystitis 7 days and 13 days after gastrectomy respectively. One case underwent cholecystectomy T-tube drainage and the other one underwent gallbladder ostomy, and two cases were cured and discharged. 2 Discussion After subtotal gastrectomy complicated with acute suppurative cholecystitis diagnosis difficult, this group of 2 patients misdiagnosed as duodenal stump fistula and subepithelial liver abscess surgery, was found during surgery was acute suppurative cholecystitis . Multiple episodes of the disease