胆道出血的临床现状探究

Current status of clinical research on hematobilia

胆道出血是上消化道出血的较罕见病因之一。由于胆道出血的临床表现多不典型,Quikle三联征(腹痛、黄疸和上消化道出血)较少见,缺乏特异性,诊断上较为困难。目前认为,医源性损伤是胆道出血的主要病因,选择性肝动脉造影是诊断胆道出血的首选方法,而介入栓塞治疗是主要治疗方法。结合大量文献阐述了胆道出血的病因、临床表现、诊断及治疗方法等方面的研究现状。

Hematobilia is one of the rare causes of upper gastrointestinal bleeding.It is difficult to diagnose in clinical practice,due to its atypical clinical manifestations,rare Quikle triad(abdominal pain,jaundice,and upper gastrointestinal bleeding),and a lack of specificity.At present,it is believed that iatrogenic injury is the main cause of hematobilia,selective hepatic arteriography is the preferred choice for the diagnosis of hematobilia,and interventional embolization is the main treatment method.With reference to related articles,this article mainly elaborates on the current status of the research on the etiology,clinical manifestations,diagnosis,and treatment of hematobilia.