Ahmed Monjur
Division of Gastroenterology and Hepatology, Department of Internal Medicine, Thomas Jefferson University, Philadelphia, PA 19107, United States.
World J Gastrointest Pathophysiol. 2018 Feb 15;9(1):1-7. doi: 10.4291/wjgp.v9.i1.1.
Acute cholangitis is bacterial infection of the extra-hepatic biliary system. As it is caused by gallstones blocking the common bile duct in most of the cases, its prevalence is greater in ethnicities with high prevalence of gallstones. Biliary obstruction of any cause is the main predisposing factor. Diagnosis is established by the presence of clinical features, laboratory results and imaging studies. The treatment modalities include administration of intravenous fluid, antibiotics, and drainage of the bile duct. The outcome is good if the treatment is started early, otherwise it could be grave.
急性胆管炎是肝外胆道系统的细菌感染。由于在大多数情况下它是由胆结石阻塞胆总管引起的，所以在胆结石高发的种族中其患病率更高。任何原因引起的胆道梗阻都是主要的诱发因素。通过临床特征、实验室检查结果和影像学检查来确诊。治疗方式包括静脉输液、使用抗生素以及胆管引流。如果早期开始治疗，预后良好，否则可能很严重。
