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重症急性胆管炎致胆道急性出血的诊断与治疗
引用本文:罗强,陈万发,赖良. 重症急性胆管炎致胆道急性出血的诊断与治疗[J]. 西南军医, 2007, 9(4): 28-29
作者姓名:罗强  陈万发  赖良
作者单位:1. 内江市第六人民医院外一科,四川,内江,641001
2. 内江市第一人民医院普外二科,四川,内江,641000
摘    要:目的探讨重症急性胆管炎致胆道出血的诊断与治疗经验。方法对18例重症急性胆管炎致胆管出血病例临床资料进行回顾性分析。结果6例行胆总管探查、T形管引流术,11例不同层面肝动脉结扎术,1例气囊尿管压迫止血术,术后痊愈15例,死亡3例。结论根据重症急性胆管炎致胆道出血的病理特点及定位诊断,结合病人的全身情况,选择相应的治疗方法能显著提高治疗胆道出血的疗效。

关 键 词:重症  急性胆管炎  胆道出血  诊断  治疗
文章编号:1672-7193(2007)04-0028-02
修稿时间:2007-06-12

Diagnosis and Treatment of Acute Hemobilia Caused by Acute Severe Cholangitis
LUO Qiang,CHEN Wanfa,LAI Liang. Diagnosis and Treatment of Acute Hemobilia Caused by Acute Severe Cholangitis[J]. , 2007, 9(4): 28-29
Authors:LUO Qiang  CHEN Wanfa  LAI Liang
Abstract:Objective To discuss the diagnosis and treatment of acute hemobilia caused by acute severe cholangitis.Methods A retrospective analysis was made to the clinical data of 18 cases with acute hemobilia caused by acute severe cholangitis.Results 6 cases received the exploration of the common bile duct and T-tube drainage,11 cases received hepatic artery ligation and 1 received hemostasis by air bladder pressure through urninary canal;15 cases recovered after operation,and 3 cases died.Conclusions It can raise the curative effect to select different treatment for different patients in treating acute hemobilia.
Keywords:severe acute cholangitis hemobilia diagnosis treatment
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