但診斷急性膽管炎需要全身炎症的證據,其中一種是:
•發燒和/或發冷
•發炎反應的實驗室證據(abnormal white blood cell count, increased serum C-reactive protein, or other changes suggestive of inflammation).
and both of the following:
•膽汁淤積的證據:Bilirubin ≥2 mg/dL or abnormal liver chemistries (elevated ALK-P, GGT, AST or ALT, to >1.5 times the upper limit of normal
•膽道擴張的影像學或evidence of the underlying etiology(eg, a stricture, stone, or stent).