关键词: 急性重症胆管炎, 早期诊断, 手术治疗

Abstract: 【Abstract】 Objective〓To report the experience in diagnosis and treatment of severe acute cholangitis. Methods〓A retrospective analysis of the clinical data of 124 cases of patients with acute severe cholangitis treated in our hospital from 2008 to 2013 were performed. Results〓112 cases underwent the surgical treatment, of which 109 cases were cured. In cured patients, 81 cases were performed by T tube drainage, 4 cases received the two stage hepatectomy because of intrahepatic bile duct residual stone, 14 cases underwent two stage operation due to residual stone in both intrahepatic bile duct and common bile duct and 6 cases in the common bile duct alone, 2 cases were performed PTCD, 2 cases were performed ENBD (nasal biliary drainage). Three cases died in operation patients, including MODS after gallbladder fistula in one case, septic shock after PTCD in two cases. Twelve patients received conservative treatment, and 4 cases died. Conclusion〓Early diagnosis and early operation treatment the most step for acute severe cholangitis. Quick, simple and effective approaches are optional surgery.

Key words: Acute cholangitis of severe type, Early diagnosis, Operative treatment