急性重症胆管炎多需紧急手术,解除胆道梗阻、有效引流、及时降低胆管内压力,才能尽可能的避免严重后果甚至高病死率的发生。该病预后与手术时机的掌握、手术方式和其它外科治疗手段的正确选择密切相关。笔者就急性重症胆管炎的外科治疗手段及手术时机的把握和手术方式的选择做一文献综述。 Acute severe cholangitis need emergency surgery, relieve biliary obstruction, effective drainage, timely reduction of intrahepatic pressure, in order to avoid possible serious consequences or even high incidence of fatality. The prognosis of the disease and the timing of surgery, surgical methods and other surgical treatment of the correct choice is closely related. The author of acute critically ill cholangitis surgical treatment and the timing of surgery and surgical options to do a literature review.