Management of acute cholecystitis and acute cholangitis in emergency setting

摘要: Acute biliary infection (acute cholecystitis and acute cholangitis) is one of the common emergency conditions which carries significant morbidity mortality. The risk factors are often associated with gallstones, stasis bile infection. Gram-negative bacteria frequent isolates from blood cultures in infectious cholangitis. Endotoxaemia gram-negative microbes results circulatory shock organ dysfunction. Therefore, prompt diagnosis severity stratification recognition its potential rapid progression to life-threatening multi-organ failure ensure execution three fundamental interventions initial management strategy, namely: resuscitation support organ, antimicrobial therapy decompression drainage control This core principle severe