摘要
1959～1989年间我院共收治胆道大出血36例,20例由胆道结石继发感染所致,血管性病变引起者14例,胆管癌2例。出血灶位于肝内31例,肝外5例。选择性内脏动脉造影对本病的诊断价值最大,本组经动脉造影确诊10例。经手术治疗27例,手术死亡10例(37.0%)。预后取决于病变的部位和原发病。
Thirty-six cases of massive biliary tract hemorrhage were treated from 1959 to 1989. The causes of hemorrhage were secondary infectton in choledocholithiasis in 20 cases,vascu-lar disorders in 14 and cancer of biliary tract in 2.Bleeding sites were intrahepatic in 31patients and extrahepatic in 5.Selective viceral artery angiography was found extremely valu-able for locating the source of bleeding.Ten patients were correctly diagnosed preopera-tively with arteriography.Operations were performed in 27 patients with 10 deaths(37.0%).Prognosis depended on anatomic location and extent of bleeding and primary underlying dis-ease.
出处
《上海医学》
CAS
CSCD
北大核心
1991年第8期443-446,F003,共5页
Shanghai Medical Journal
