Info
🌱 來自: Treatment-cholecystitis
guidelines for the diagnosis and determination of severity of acute cholecystitis
Disease severity:
TG18/TG13 severity grading for acute cholecystitis
- Grade I
- Acute cholecystitis in otherwise healthy patient with mild local inflammatory changes and without organ dysfunction
- Criteria for grade II or III not met
- Grade II any one of the following characteristics:
- Leukocytosis (>18,000 cells per mm?)
- Palpable, tender mass in right upper quadrant
- Symptom duration >72 hr
- Marked local inflammation (gangrenous or emphysematous cholecystitis, pericholecystic or hepatic abscess,
- biliary peritonitis
- Grade III acute cholecystitis organ dysfunction in any one of the following systems
Figure: