Patients suffering from acute severe cholangitis tend to present with distension or colic in the right upper abdomen, and the pain in the abdomen is aggravated after eating. The disease is mainly caused by stones, and the onset of the disease can be acute. Patients may also experience chills and high fever, with a rapid rise in body temperature, which can reach as high as 40°C. The patient’s pulse rate may also increase, even reaching 120 beats per minute. Some patients may experience jaundice, with yellow eyes and skin, and even during defecation, the urine may turn thick tea-colored, and some patients may also experience blurred consciousness and mental lassitude. After the appearance of acute severe cholangitis patients need timely treatment, especially surgical treatment, and timely resuscitation is needed during acute attacks to avoid causing life-threatening conditions.