外科

Vol.6 No.1 (January 2017)

胆道出血的诊治现状
Current Status of Diagnosis and Treatment of Hemobilia

 

作者:

张宗明 :首都医科大学北京电力医院普外科,北京

 

关键词:

胆道出血诊断治疗Hemobilia Diagnosis Treatment

 

摘要:

胆道出血是一种少见疾病,但近年来医源性损伤造成的胆道出血的发生率有逐渐上升趋势。胆道大量出血具有典型“Quincke三联征”者仅占40%,多数需借助各种辅助检查,才能明确胆道出血的定性和定位诊断。在积极预防胆道出血病因基础上,积极的外科干预,甚至采取合理的手术治疗,才能有效提高胆道出血的治疗效果。本文综述胆道出血的诊断、预防和治疗现状,以期进一步提高其诊治效果。

Hemobilia is a rare disease, but in recent years, iatrogenic injury resulted in the incidence of he-mobilia has begun to drift upwards. Bile duct massive hemorrhage has the typical “Quincke triad”, which only happens to 40% patients, and most need to use a variety of auxiliary examination, so as to clear the qualitative and positioning diagnosis of hemobilia. On the basis of active prevention of the causes of hemobilia, only by active surgical intervention and even taking reasonable surgical treatment can we effectively improve its treatment effect. This article reviews the diagnosis, prevention and treatment of hemobilia, in order to improve the effect of its diagnosis and treatment.

文章引用:

张宗明 (2017) 胆道出血的诊治现状。 外科, 6, 1-7. doi: 10.12677/HJS.2017.61001

 

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