علاج تحصي القناة الصفراوية المشتركة في التهاب الأقنية الصفراوية الحاد الشديد

References

• Severe acute cholangitis, diagnosed by these indicators:
• Hypotension that requires dopamine doses of >5 mcg/kg/min or norepinephrine
• Altered consciousness
• PaO₂/FiO₂ ratio <300
• Oliguria, creatinine >2 mg/dL
• INR >1.5
• Thrombocytopenia, below 100000
• More severe cholangitis requires more immediate ERCP to perform biliary drainage, so that the infection source can be controlled adequately.
• Severe acute cholangitis: as soon as possible and before 12 hours