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48例胆道出血诊治分析

Experiences in Diagnosis and Surgical Treatment of Biliary Tract Hemorrhage:A Report of 48 Cases
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摘要 对48例胆道出血的诊治结果进行了分析。近年来因病因的变迁,医源性损伤、肝动脉瘤出血等报道增多,感染性胆道出血比例相应减少。根据本组资料分析,选择性肝动脉栓塞术治疗9例(15次),最终均达到止血;肝切除术治疗12例,9例获立即止血。以此两种方法的疗效为好。 The diagnosis and treatment of 48 cases of hemorrhage of bile ducts from1955—1993 are reported in this article.The etiological analysis showed increase of iatrogenic injury and hepatic artery aneurysm and relative decrease in infectious hemobilia.The investigation showed that the selective hepatic artery embolization performed in 9 eases(15 times)could control hemobilia and hepatectomy performed in 12 cases could achieved immediate hemostasis in 9 cases of hemobilia.These two methods are the most effective.The authors emphasize the significance of precise localization of bleeding foci.Keywods:hemorrhage of liver ducts,etiology,surgical treatment,hepatic artery embolization,hepatectomy
出处 《华中科技大学学报(医学版)》 CAS CSCD 北大核心 1994年第S1期55-57,63,共4页 Acta Medicinae Universitatis Scientiae et Technologiae Huazhong
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