【摘要】 目的 总结胆道结石合并胆道感染的诊治经验。 方法 回顾性分析我院1993年2月～2003年12月收治的以急性炎症为主要表现的胆道结石病例的临床资料。 结果 治愈370例，死亡11例，放弃治疗5例。 结论 胆道结石合并急性炎症时治疗的关键是判断胆道系统梗阻的部位及程度，根据B超、CT及黄疸的程度可对此作有效判断，如胆道系统出现明显梗阻则应尽早手术减压引流，此可减少重症胆管炎的发生率;如为重症胆管炎更应急诊手术治疗。

    关键词 胆道结石 胆道梗阻 急性炎症 外科治疗

    Experience of diagnosis and management in386cases of biliary tract stone with acute inflammation

    Huang Qiangqin

    Department of General Surgery，Xinxing People's Hospital of Yunfu，Guangdong527400.

    【Abstract】 Objective To discuss the diagnosis and management of biliary tract stone.Methods From Feb1993to Dec2003，386cases of biliary tract stone with acute inflammation were analyzed retrospectively.Results 370cases were cured.11cases died.Medical management was given up in5cases left.Conclusion To estimate the site and degree of the obstruction of biliary tract is the key to manage biliary tract stone with acute inflammation.Ultrasonic examination ......