| 隐匿性胆道出血误诊原因及诊治分析 |
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| 引用本文： | 蔡海,莫锦良. 隐匿性胆道出血误诊原因及诊治分析[J]. 肝胆外科杂志, 2003, 11(3): 211-212 |
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| 作者姓名： | 蔡海 莫锦良 |
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| 作者单位： | 江苏省宜兴市人民医院普外科,宜兴,214200 |
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| 摘 要： | 目的 探讨隐匿性胆道出血的误诊原因和处理方法。方法 回顾性分析1991年-2000年收治的隐匿性胆道出血5例临床资料。结果 2例出血位于肝内，3例位于肝外。出血原因：2例为肿瘤，2例为炎症，1例原因不明。4例治愈，1例术后5月死亡。结论 对因治疗是处理胆道出血的可靠方法。术中胆道镜、肝动脉造影对判别出血的部位可提供可靠依据。
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| 关 键 词： | 胆道出血 隐匿性 血管造影术 误诊 胆道镜 |
| 文章编号： | 1006-4761(2003)03-0211-02 |
| 修稿时间： | 2002-03-10 |
THE MISDIAGNOSIS REASON AND ANALYSIS OF OBSCURE HEMOBILIA |
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| CAI Hai,MO Jin liang. THE MISDIAGNOSIS REASON AND ANALYSIS OF OBSCURE HEMOBILIA[J]. Journal of Hepatobiliary Surgery, 2003, 11(3): 211-212 |
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| Authors: | CAI Hai MO Jin liang |
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| Affiliation: | CAI Hai,MO Jin liang.Department of Surgery,Yixing People's Hospital,Yixing 214200,China) |
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| Abstract: | Objective To investigate the misdiagnosis reason and treatment method of obscure hemobilia.Methods From 1991 to 2000,5 patients with obscure hemobilia were analyed retrospectively.Result The bleeding lesions were intrahepatic in 2 patients and extrahepatic in 3.Beeding reason:2 cases were tumors,2 cases were infection,one was unknown.4 cases were cured,and one died.Conclusion Treatment of pathogeny was the best methods for obscure hemobilia.Choledochoscope or selective splanchniac arteriography were most valuable in pointing out the source of bleeding during the surgery operaton. |
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| Keywords: | hemobilia angiography misdiagnosis choledochoscope |
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