有关胆囊结石症，下列叙述哪些是错误的（） -题库考试答案搜索网

有关胆囊结石症，下列叙述哪些是错误的（）

单选题

2021-08-30 13:42

A、可继发感染，引起急性胆囊炎
B、可导致胆囊积脓
C、可导致急性化脓性胆管炎和全身感染
D、结石较大者比小结石更易引起临床症状
E、静止性胆囊结石可无需处理

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正确答案

试题解析

当胆囊结石嵌于胆囊颈部，可导致囊内压力增高，加之胆汁酸刺激胆囊黏膜，引起充血、水肿、渗出即急性胆囊炎。若胆囊结石长期嵌顿而又不引起继发性感染，导致胆囊积脓。较小的胆囊结石可排入胆总管，若嵌顿于胆总管下端壶腹部，会导致急性梗阻性化脓性胆管炎和全身感染。较大的结石通常不会嵌于胆囊颈部，更少会排入胆总管，临床上常无症状或临床症状较轻。胆囊结石症的治疗原则是手术切除病变胆囊，而对于无症状的静止的胆囊结石，一般可不施行手术。

标签：普通外科学胸心外科主治医师普外科北京住院医师妇产科Ⅰ阶段

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