急性胆道系统感染的诊断和治疗指南(2021版)

Guidelines for diagnosis and treatment of acute biliary tract infections(2021)

为规范和提高我国急性胆道系统感染诊断和治疗水平,中华医学会外科学分会胆道外科学组依据最新文献和循证医学证据更新修订了《急性胆道系统感染的诊断和治疗指南(2011版)》。本指南阐述了急性胆道系统感染发病的危险因素及诊断和严重程度分级标准,并明确了急性胆道系统感染的治疗方法,希望能进一步规范抗菌药物的使用。急性胆道系统感染的治疗应综合外科干预、抗菌药物治疗和全身管理,在专科医师主导下,采取合理诊疗措施,准确把握手术方式和时机,规范使用抗菌药物,使患者获得最佳治疗获益。

To further improve the standard of diagnosis and treatment of acute biliary tract infections in China,the Branch of Biliary Surgery,Society of Surgery,Chinese Medical Association has revised the guidelines for the diagnosis and treatment of acute biliary tract infections(2011).The guidelines describe the risk factors of acute biliary tract infections,propose diagnostic methods and severity classification criteria,and define the treatment of acute biliary tract infections and the standardized application of antibiotics.The treatment of acute biliary tract infection should be combined with surgical care,antimicrobial therapy and systemic management,and should be completed under the guidance of experienced surgical specialist.Reasonable selection of diagnosis and treatment measures,accurate understanding of surgical procedures and standardized use of antibiotics can achieve maximum treatment result for acute biliary tract infection.