胆道动脉性出血的介入诊断与治疗

作者自８０年代以来，迄今共采用介入法诊治动脉性胆道出血２１例。２１例既往均有剖腹胆系手术史。患者分别于手术后数天至数月内发生胆道出血。出血常为周期性，少数患者可延续多年。本组病例在经股动脉选择性插管造影明确出血部位并选择性注入栓塞剂（明胶海绵微粒）后，再次造影均显示出血停止。有３例于栓塞治疗后１～３周再次出血。此３例经剖腹手术（１例）或再次介入治疗后均获治愈。作者认为本法安全、可靠、为一理想的诊治外伤性胆道出血的方法。

Interventional radiology for the diagnosis and treatment of arterial hemobilia

From 1980 interventional theraphy was used in 21 cases of arterial hemobilia of which all had had laparotomy for their biliary diseases days or months before the episode. Selective hepatic artery catheterization and granula gelfoam embolization was made through femoral artery. Immediate stop of the bleeding was verified by subsequent arteriography. Hemobilia recurred in 3 cases 1 to 3 weeks after and was cured by second embolization in 2.