Abstract: Management of acute biliary pancreatitis with acute cholangitisof severe type        FENG Qiu-shi, YANG Yin-mo. Department of Hepatobiliary Surgery, Peking University First Hospital, Beijing 100034, China
Abstract    Acute biliary pancreatitis (ABP) complicated with acute cholangitisof severe type (ACST) is dangerous and has a high mortality rate. Early diagnosis, active surgery, reasonable selection of endoscopic biliary drainage, percutaneous transhepatic cholangiodrainage(PTCD), open common bile duct exploration and other treatment strategies should be performed, in order to prevent or delay the progress of disease, reduce the incidence of complications and morality.

Key words: acute biliary pancreatitis, acute cholangitisof severe type, endoscopic therapy, percutaneous transhepatic cholangial drainage, open common bile duct exploration

摘要： 急性胆源性胰腺炎合并急性重症胆管炎病情凶险，病死率高。早期诊断，在内科治疗的同时，积极手术，合理选择内镜胆道引流、经皮经肝胆道引流、开放胆总管探查等治疗策略，以期阻止或延缓病情进展，降低并发症发生率及病死率。

关键词: 急性胆源性胰腺炎, 急性重症胆管炎, 内镜治疗, 经皮经肝穿刺胆道引流, 开放胆总管探查