目的总结基层医院手术治疗急性重症胆管炎(ACST)的临床经验,提高手术效果。方法回顾性分析76例急性重症胆管炎手术治疗的临床资料。结果本组76例,治愈69例,治愈率90.79%,死亡7例,死亡率为9.21%。结论早期诊断,把握手术时机,采用简单有效的手术方式,可提高基层医院对ACST的治愈率,降低死亡率。 Objective To summarize the clinical experience of surgical treatment of acute severe cholangitis (ACST) in primary hospitals and to improve the surgical results. Methods A retrospective analysis of 76 cases of acute cholangitis in the surgical treatment of clinical data. Results The group of 76 cases, 69 cases were cured, the cure rate was 90.79%, 7 died, the mortality rate was 9.21%. Conclusion Early diagnosis, grasp the timing of surgery, the use of simple and effective surgical approach can improve the primary hospital ACST cure rate and reduce mortality.