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胆道大出血的血管造影诊断及介入治疗
引用本文:陈华栋,何明基,陈德基,练辉,申刚,文超白,邱永.胆道大出血的血管造影诊断及介入治疗[J].现代临床医学生物工程学杂志,2004,10(2):112-113,119.
作者姓名:陈华栋  何明基  陈德基  练辉  申刚  文超白  邱永
作者单位:广东省茂名高州市人民医院放射科 高州525200 (陈华栋),广州医学院第二附属医院放射科 广州510260 (何明基,陈德基,练辉,申刚,文超白),广东省茂名高州市人民医院放射科 高州525200(邱永)
摘    要:目的 评价血管造影诊断及介入治疗在胆道大出血中的价值 .方法 对 16例胆道大出血病人采用介入放射技术紧急行腹腔动脉和肝动脉造影 ,明确出血部位后 ,行肝动脉分支出血点栓塞术 .结果  16例栓塞后出血均立即停止 ,2例再发出血 ,经再次栓塞后也成功止血 .随访 3月~ 2年均无再出血或并发症 .结论 选择性肝动脉造影和栓塞术对胆道大出血诊断准确 ,止血效果确切 ,简单易行 ,安全可靠 ,应作为首选方法

关 键 词:胆道出血  血管造影  栓塞
文章编号:1008-634X(2004)02-0112-03

The Value of Angiography and Embolization in the Diagnosis an Treatment to the Massive Hemobilia
CHEN Hua-dong,HE Ming-ji,CHEN De-ji,et al..The Value of Angiography and Embolization in the Diagnosis an Treatment to the Massive Hemobilia[J].Journal of Modern Clinical Medical Bioengineering,2004,10(2):112-113,119.
Authors:CHEN Hua-dong  HE Ming-ji  CHEN De-ji  
Abstract:Objective To evalute the value of angiography and embolization in the diagnosis and treatment to the massive hemobilia. Methods 16 patients with massive hemobilia underwent emergency celiac and hepatic artery angiography .The patients were diagnosed rapidly and treated successfully by embolization of the hepatic artery branch proximal to the bleeding point. Results Hemorrhage of all patients was stopped immediately, 2 patients were embolized two times for bleeding again.All of patients were alive and followed up for 3 months to 2 years. There were no bleeding and no serious complication. Conclusions As a safe, reliable,simple method, Selective hepatic artery angiography and embolization has obvious advantages than surgery, It should be the first choice for the massive hemobilia.
Keywords:Hemobilia  Angiography  Embolization
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