【摘要】目的 探讨急性梗阻性化脓性胆管炎的临床诊治方法，提高临床诊治水平。方法 回顾性分析我院自2007年3月~2009年10月收治的78例急性梗阻性化脓性胆管炎患者的临床资料，总结临床诊断和治疗方法。结果 本组78例患者经上述治疗后治愈73例，死亡5例(其中3例死于急性呼吸窘迫综合征，2例死于多器官功能衰竭)，死亡率为6.4%；术后并发切口感染2例，经抗感染治疗后痊愈。结论 及时判断病情严重程度，在全身治疗的基础上给予胆管引流，解除胆管梗阻、控制胆道感染是治疗急性梗阻型化脓性胆管炎的关键。

    【关键词】胆管炎 急性梗阻性化脓性 外科 治疗

    中图分类号：R657.4文献标识码：A文章编号：1005-0515(2011)1-015-02

    Acute obstructive suppurative cholangitis surgical treatment

    【Abstract】 Objective To investigate the acute obstructive suppurative cholangitis of the clinical diagnosis and treatment methods to improve the clinical diagnosis and therapy. Methods A retrospective analysis of our hospital from March 2007 ~ October 2009 78 patients with acute obstructive suppurative cholangitis in patients with clinical data, summarize the clinical diagnosis and treatment. Results 78 patients were cured by the treatment of 73 patients, 5 died (3 of them died of acute respiratory distress syndrome, 2 patients died of multiple organ failure), mortality was 6.4%; postoperative incision infection in 2 cases, cured by anti-infection treatment. Conclusion The time to judge the severity of the systemic treatment given on the basis of biliary drainage to relieve bile duct obstruction, control, treatment of acute biliary tract infection is obstructive suppurative cholangitis of the key. ......