肝脏外科手术应用头孢曲松钠发生相关性胆囊假性结石3例分析  

Pseudolithiasis of gall bladder induced by perioperative administration of ceftriaxone sodium:report of three cases

作　　者：黄兴华 胡还章 罗顺峰 黄才如 吕立志 江艺 Huang Xinghua;Hu Huanzhang;Luo Shunfeng;Huang Cairu;Lyu Lizhi;Jiang Yi(Department of Hepatobiliary and Pancreatic Surgery,900 Hospital of PLA Joint Logistic Support Force,Fuzhou 350025,China;Department of Hepatobiliary Surgery,Mengchao Hepatobiliary Hospital of Fujian Medical University,Fuzhou 350025,China)

机构地区：[1]联勤保障部队第九〇〇医院肝胆胰外科,福州350025 [2]福建医科大学孟超肝胆医院肝胆外科,福州350025

出　　处：《中华全科医师杂志》2022年第12期1174-1177,共4页Chinese Journal of General Practitioners

基　　金：福建中医药大学校管临床专项(XB2022144);福建省自然科学基金(2020J011144)。

摘　　要：回顾性分析福建医科大学孟超肝胆医院2020年12月至2022年2月收治的3例头孢曲松钠相关性胆囊假性结石患者的临床资料。3例患者手术前后均预防性使用头孢曲松钠,分别于术后第3、3和2天影像学检查发现胆囊泥沙样结石。停用头孢曲松钠后未经特殊治疗,分别于术后第28、38和48天影像学检查显示结石消失。提示胆囊结石的形成与头孢曲松钠相关。Three patients received surgical treatment in Department of Hepatobiliary Surgery of Mengchao Hepatobiliary Hospital from December 2020 to February 2022.Ceftriaxone sodium was given prophylactically before and after operation,and gallbladder silt stones were found by imaging examination on the 3rd,3rd and 2nd after surgery in 3 patients,respectively.No special treatment was given,after the withdrawal of ceftriaxone sodium for 28,38 and 48 d,radiographic examination showed that calculi disappeared spontaneously.It is suggested that the pseudolithiasis may be related to administration of ceftriaxone sodium.

关 键 词：胆囊结石病 假性结石 头孢曲松钠 

分 类 号：R657.4[医药卫生—外科学]