Reynolds W R, Brinkman J D, Haney B D, Fticsar J E
U.S. Naval Hospital-Subic Bay, Republic of the Philippines.
Mil Med. 1994 Feb;159(2):158-60.
Oriental cholangiohepatitis (OCH) is a disease endemic to Asia. U.S. military physicians and surgeons deployed to these regions should be aware of this regional disease. Western physicians encounter OCH with the increasing immigration of Asians to the United States. OCH should be suspected in patients with signs of cholangitis who have traveled from Asia. Initial treatment is medical with antibiotics and identification of helminthic and parasitic infection. Unless there is inadequate response to medical treatment, surgery is delayed. Operation consists of exploration and drainage of the common bile duct. Overall results are satisfactory with prompt recognition and appropriate medical and operative treatment.
东方胆管肝炎（OCH）是亚洲特有的一种疾病。部署到这些地区的美国军医和外科医生应了解这种地区性疾病。随着亚洲人向美国移民的增加，西方医生也会遇到OCH。对于有胆管炎症状且来自亚洲的患者，应怀疑患有OCH。初始治疗是使用抗生素进行药物治疗，并识别蠕虫和寄生虫感染。除非药物治疗反应不佳，否则手术应推迟。手术包括胆总管探查和引流。通过及时识别以及适当的药物和手术治疗，总体效果令人满意。
