| 经内镜逆行胰胆管造影术后迟发性胆道出血的原因和应对措施 |
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| 引用本文： | 王继恒,高革,史久健. 经内镜逆行胰胆管造影术后迟发性胆道出血的原因和应对措施[J]. 临床肝胆病杂志, 2013, 29(9): 692-694 |
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| 作者姓名： | 王继恒 高革 史久健 |
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| 作者单位： | 王继恒 (北京军区总医院消化内科,北京,100700); 高革 (北京军区总医院消化内科,北京,100700); 史久健(中国人民解放军92474部队医院,海口,572018); |
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| 摘 要： | 目的探讨经内镜逆行胰胆管造影（ERCP）术后迟发性胆道出血的原因和应对措施。方法回顾性分析1007例行ERCP的术后并发症,7例为迟发性胆道出血,对出血时间、疾病谱、出血量和治疗过程进行分析。结果出血患者均存在胆管炎症,出血时间在术后24 h至2周,出血量为少量至中等量（≤1000 ml）,内科保守治疗效果良好。结论ERCP术后迟发性胆道出血临床罕见,内科保守治疗预后良好。
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| 关 键 词： | 胆道出血 胰胆管造影术,内窥镜逆行 括约肌切开术,内窥镜 |
Causes and countermeasures of delayed hemobilia after endoscopic retrograde cholangiopancreatography |
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| Affiliation: | WANG Jiheng, GAO Ge, Sill Jiujian. (Department of Gastroenterology, Beijing Army General Hospital, Beijing 100700, China) |
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| Abstract: | ObjectiveTo investigate the cause and treatment of delayed hemobilia after endoscopic retrograde cholangiopancreatography （ERCP）. MethodsA retrospective analysis was performed on the complications in 1007 patients after ERCP, and the 7 cases of delayed hemobilia were subjected to analysis of time of onset of bleeding, spectrum of disease, blood volume, and treatment process. ResultsAll the bleeding patients had cholangitis. The bleeding occurred at 24 hours to 2 weeks after ERCP, with a small to medium volume of blood （≤1000 ml）. The conservative medical treatment produced a good outcome in these bleeding patients. ConclusionDelayed hemobilia after ERCP is rare and has a good prognosis following conservative medical treatment. |
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| Keywords: | hemobilia cholangiopancreatography, endoscopic retrograde sphincterotomy, endoscopic |
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