The treatment of acute cholecystitis What are the principles

For patients with acute cholecystitis, The general non-surgical treatment, symptoms can be alleviated and more, after re-elective surgery.
Non-surgical therapy, including bed rest, fasting, transfusion to correct water and electrolyte imbalance, vitamin and antibiotics, if necessary, to gastrointestinal decompression. Abdominal pain can be given when Antispasmodic agents and analgesic agents such as atropine, meperidine, at the same time should be closely observing the condition changes. Any of the following circumstances, it shall be the short term symptomatic treatment for, the purposes of emergency surgery:
(1) clinical symptoms heavy and difficult to mitigate, enlarged gallbladder, and the tension are more likely to have perforation.
(2) abdominal tenderness obviously, muscular stiffness, peritoneal irritation symptoms, or to observe the course of treatment, signs add to the abdomen.
(3) suppurative cholecystitis have chills, high fever, were significantly higher leukocyte.
(4) general acute cholecystitis in the non-surgical treatment failed to alleviate the symptoms or worsening of the illness are.
(5) elderly patients susceptible to gangrene and perforation of the gallbladder, the symptoms early surgery should be heavier.