People suffering from cholecystitis should be actively treated, then how to treat cholecystitis, the following I introduced to you about the treatment of cholecystitis, welcome to read.

1. General treatment

① Active prevention and treatment of bacterial infections and complications, pay attention to dietary hygiene, to prevent the occurrence of biliary parasites, and active treatment of intestinal ascariasis. ③Keep lying on the left side of the body, which is favorable to the excretion of bile. If there are stones or frequent attacks, surgery can be considered. ⑤ Low-fat meals should be chosen to reduce bile secretion and reduce the burden on the gallbladder.

2. medication

(1) acute cholecystitis

① antispasmodic, analgesic can be used intramuscular injection of atropine, nitroglycerin sublingual, pethidine (dulcolax), in order to relieve sphincter of Oddi spasm and pain.

② Antimicrobial therapy Antibiotic use is to prevent bacteremia and septic complications, usually ampicillin (ampicillin), clindamycin (clindamycin) and aminoglycosides in combination, or the choice of a second-generation cephalosporin such as cefamandole (cefhydroxazole) or cefuroxime treatment. The change of antibiotics should be based on blood cultures, `bile cultures and bacterial cultures of the gallbladder wall at the time of surgery, and the results of drug sensitivity tests.

③ Choleretic drugs: 50% magnesium sulfate orally (not used if there is diarrhea), dehydrocholic acid tablets orally, bile acid tablets orally.

(2) chronic cholecystitis

① choleretic drugs can be orally 50% Cuban magnesium acid, dehydrocholic acid tablets.

② Deworming therapy for the cause of deworming.

③ litholytic therapy If cholesterol stones are caused by cholesterol stones, the treatment can be used to dissolve stones with deoxycholic acid. Literature reports that the effectiveness of lithotripsy can reach about 60%. After the end of the course of treatment still need to take a maintenance dose, in order to prevent recurrence.

(3) rational use of proprietary Chinese medicines

① Golden gall tablets Function: anti-inflammatory choleretic. It is used for acute and chronic cholecystitis.

② clear liver and gallbladder oral liquid function: clear the liver and gallbladder damp heat. The main treatment for dullness, dizziness, fatigue, yellow urine, greasy moss, stringy pulse, liver stagnation, liver and gallbladder dampness and heat is not clear.

3. Surgical treatment

Cholecystectomy is the fundamental treatment for acute cholecystitis. Surgical indications: ① gallbladder gangrene and perforation, complicated by diffuse peritonitis; ② acute cholecystitis repeated acute attacks, the diagnosis is clear; ③ by active medical treatment, the condition continues to develop and deteriorate; ④ no contraindications to surgery, and can tolerate surgery. Chronic cholecystitis with gallstones; once the diagnosis is established, cholecystectomy is a reasonable and fundamental treatment. If the patient has heart, liver, lungs and other serious diseases or systemic conditions can not tolerate surgery, can be given to internal medicine.