Этиология и патогенез – см. Водянка желчного пузыря. При вирулентной инфекции после всасывания желчи идет выделение стенкой пузыря гноя, наполнение его гнойным экссудатом и растяжение.

Эмпиема желчного пузыря симптомы
Острый приступ холецистита, обычно с резко выраженной клинической картиной (интенсивные боли, отдача в плечо и лопатку, температура 38—39°). Местно мышечное напряжение, болезненность печени, иногда субиктеричность. Приступ не заканчивается, боли остаются, температура может несколько снижаться, но полностью не ликвидируется, мышечное напряжение держится. Прощупывающийся желчный пузырь не имеет наклонности к уменьшению, увеличивается, растягиваясь гноем.

Течение и осложнение. Перфорация и микроперфорация с последующим разлитым перитонитом, перихолецистит с флегмонозным процессом в окружности пузыря, перфорация в органы брюшной полости.

Эмпиема желчного пузыря лечение
см. Заболевания печени. Холецистит.
Только больные с печеночной коликой и с неосложненным острым холециститом подлежат терапевтическому лечению. Во всех остальных случаях показано хирургическое лечение.


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