本文报道胆道感染并发的败血症60例,均经血培养证实。革兰氏阴性杆菌占48例(80.O％),其中以大肠杆菌、肺炎杆菌及产气杆菌等致病菌为主;革兰氏阳性球菌(表皮葡萄球菌、全黄色葡萄球菌及肠球菌等)11例(18.3％);类酵母菌1例。起病急骤,高热57例(95.0％)、寒战51例(85.0％)、腹痛40例(66.7％)、黄疸39例(65.0％),严重者有神志改变、休克、上消化道出血、肝脓肿、DIC、多脏器功能衰竭。病死率48.3％。 This article reports 60 cases of sepsis complicated by biliary tract infection, both confirmed by blood culture. Gram-negative bacilli accounted for 48 cases (80.0%), of which Escherichia coli, Klebsiella pneumoniae and aerobes and other pathogens; Gram-positive cocci (Staphylococcus epidermidis, Staphylococcus aureus and Enterococcus Etc.) in 11 cases (18.3%); yeast in 1 case. 51 cases (85.0%) of chills, 40 cases (66.7%) of abdominal pain, 39 cases (65.0%) of jaundice, serious changes in consciousness, shock, upper gastrointestinal bleeding, liver Abscess, DIC, multiple organ failure. Case fatality rate of 48.3%.