医源性胆道出血介入治疗的疗效观察  

Evaluation of therapeutic efficacy of intervention in iatrogenic hemobiiia

作　　者：吴育民[1] 周汝明[1] 邱水波[1] 刘闽华[1] 邱喜雄[1] 庄少育[1] 杨慧君[1] 

机构地区：[1]深圳市第二人民医院放射科DSA室,广东518035

出　　处：《影像诊断与介入放射学》2011年第1期48-51,共4页Diagnostic Imaging & Interventional Radiology

基　　金：深圳市科技计划项目(200803033)

摘　　要：目的探讨医源性胆道出血的介入治疗效果。方法回顾性分析8例医源性胆道出血患者的临床资料,分析其病因及治疗方案,以及观察其介入治疗后转归情况。结果 8例胆道出血患者肝动脉造影表现为假性动脉瘤者5例,局部动脉末梢分支紊乱、对比剂外溢者2例,阴性者1例。8例患者均行相应的介入栓塞治疗,术后8例患者中有7例胆道出血停止,追踪随访1月末发现再发出血,1例胆道出血仍持续并于术后1周发生失血性休克死亡。结论介入治疗医源性胆道出血能明确多数患者的病因,动脉栓塞治疗疗效明显,可作为胆道出血的首选治疗方案。Objective To observe the efficacy of interventional therapy on iatrogenic hemobilia. Methods A retrospective study was conducted on 8 patients with iatrogenic hemobilia. The efficacy of interventional therapy along with causes, material and methods was analyzed. Results after treatment was observed. Results During the hepatic artery angiography of 8 pa- tients, 5 eases showed hepatic artery pseudoaneurysm, 2 cases showed turbulence of distal artery with contrast extravasate, 1 case showed negative result. All patients accepted artery embolization successfully. Hemobilia stopped in 7 cases, and did not recur after 1 month. In the other one case hemobilia remained and the patient died after 1 week. Conclusion Interventional therapy had significant effects on iatrogenic hcmobilia, and it may be the first way for iatrogenic hemohilia.

关 键 词：医源性疾病 胆道出血 动脉瘤 肝动脉 栓塞 

分 类 号：R575.7[医药卫生—消化系统] R816.5[医药卫生—内科学]