ACUTE CHOLANGITIS
ACUTE CHOLANGITIS
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DOI：
10.1097/00000658-198003000-00002
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发表时间：
1980-01-01
影响因子：
9
通讯作者：
WAY, LW
中科院分区：
文献类型：
--
作者：
BOEY, JH;WAY, LW
The features of cholangitis were analyzed in 99 consecutive cases treated in the last 10 yr. The disease was severe and refractory in half the cases due to malignant stricture, and in 20% of those due to gallstones. Benign strictures, sclerosing cholangitis and most cases of choledocholithiasis were associated with less severe cholangitis, which responded promptly to antibiotic therapy. High fever, a serum bilirubin level above 4 mg/dl, and hypotension characterized the most severe refractory cases in which emergency surgery was mandatory. Patients without manifestations were nearly always controlled successfully with antibiotics. The term suppurative cholangitis is an unsatisfactory synonym for severe cholangitis, because the correlation between biliary suppuration and clinical manifestations in cholangitis is inexact; some patients with severe sepsis do not have pus in the bile duct, and a few patients with suppurative bile are only moderately ill.
