探讨华支睾吸虫引起急性梗阻性胆管炎的诊断、治疗。报道1990年以来，由大量华支睾吸虫和粘液团引起急性梗阻性胆管炎8例，均经手术证实。B型超声、CT检查示：以肝内小胆管扩张为主，大多从肝门向被膜方向均匀扩张。均行急诊胆道探查或经抗感染、护肝后胆道探查、T管引流，术后给予吡喹酮口服，痊愈。分析认为，华支睾吸虫所致急性梗阻性胆管炎有相对特征性的肝脏B型超声和CT改变，如能确诊，大多数病例可免于急诊胆道探查。 To investigate the diagnosis and treatment of Clonorchis sinensis caused by acute obstructive cholangitis. Reported since 1990, caused by a large number of Clonorchis sinensis and mucus group of acute obstructive cholangitis in 8 cases were confirmed by surgery. B-mode ultrasound, CT examination showed: dilatation of the small intrahepatic bile ducts, mostly from the hilar to the capsule direction of expansion. All patients underwent emergency biliary exploration or anti-infection, hepatobiliary biliary exploration, T-tube drainage, after oral administration of praziquantel, cured. Analysis, clonorchis sinensis caused by acute obstructive cholangitis has relatively characteristic liver B-mode ultrasound and CT changes, if confirmed, most cases are free from emergency biliary exploration.