Farreras Catasús N, Comes Vaello J B, Craywinckel Martí G, Vallverdú Cartié H, Puig La Calle J
Servicio de Cirugía General y Digestiva, Hospital de la Santa Creu i Sant Pau, Barcelona.
Rev Esp Enferm Dig. 1995 Sep;87(9):637-40.
We have studied the impact of early biliary drainage (surgical or endoscopical) on morbidity-mortality of acute cholangitis.
During a five-year period (1988-1992) 106 patients were diagnosed of acute cholangitis (clinically, echographically and microbiologically).
Surgical intervention was performed in 78% of the patients, endoscopic biliary drainage in 18% and in 4% medical treatment alone. In 65% of cases, biliary drainage was performed during the eight hours after diagnosis. Overall mortality rate was 3, 7% (4 patients).
Our results suggest that early biliary drainage of acute cholangitis is the most important factor in order to achieve a low mortality rate.
我们研究了早期胆道引流（手术或内镜）对急性胆管炎发病率和死亡率的影响。
在五年期间（1988 - 1992年），106例患者被诊断为急性胆管炎（通过临床、超声和微生物学诊断）。
78%的患者接受了手术干预，18%接受了内镜胆道引流，4%仅接受了药物治疗。65%的病例在诊断后8小时内进行了胆道引流。总体死亡率为3.7%（4例患者）。
我们的结果表明，急性胆管炎的早期胆道引流是实现低死亡率的最重要因素。
