胆道出血6例临床分析及文献复习  

Clinical features of hemobilia:Report of six cases and a literature review

作　　者：王寰 郝燕蒙 杨爽 王晓枫 林栋雷 曹金华 李婷[1] 王伟岸 Huan Wang;Yan-Meng Hao;Shuang Yang;Xiao-Feng Wang;Dong-Lei Lin;Ting Li;Wei-An Wang(Department of Gastroenterology,The Third Medical Center of PLA General Hospital,Beijing 100039,China)

机构地区：[1]解放军总医院第三医学中心消化内科,北京市100039

出　　处：《世界华人消化杂志》2021年第18期1071-1076,共6页World Chinese Journal of Digestology

摘　　要：背景胆道出血是上消化道出血的少见病因,胆道出血诊治是困难及具有挑战性的.目的探讨胆道出血的原因及处理方法,提高胆道出血诊治水平.方法分析我院2014-2018年确诊的6例胆道出血患者的临床资料、出血原因及其治疗方法,并进行相关文献复习,总结出胆道出血的诊治流程.结果胆道出血患者6例,男性4例,女2例,26-68岁,平均年龄54.2岁.其中肿瘤病变2例,胆囊结石1例,胆囊假性动脉瘤1例;肝移植术后1例;胆道感染1例.外科手术治疗2例,内镜下治疗1例,血管介入治疗1例;内科保守治疗2例.治愈5例,失血性休克死亡1例.结论胆道出血诊治是困难及具有挑战性,提高对胆道出血的认识,及时细致的检查和合理选择处理方式,是提高胆道出血诊治水平的关键.BACKGROUND Hemobilia is a rare cause of upper gastrointestinal bleeding.Diagnosis and treatment of hemobilia can be difficult and challenging.AIM To explore the causes of and treatment methods for hemobilia to improve its diagnosis and treatment.METHODS The clinical data,causes of bleeding,and treatment methods for six patients with hemobilia diagnosed at our hospital from 2014 to 2018 were analyzed,and the relevant literature was reviewed to summarize the diagnosis and treatment processes of hemobilia.RESULTS Of the six patients with hemobilia(including two females;mean age,54.2 years),two had tumor lesions,one had gallbladder stones,one had gallbladder pseudoaneurysm,one underwent liver transplantation previously,and one had biliary tract infection;two were treated by surgery,one underwent endoscopic treatment,one underwent vascular intervention,and two were pharmacologically treated;five were cured,and one died from hemorrhagic shock.CONCLUSION Diagnosis and treatment of hemobilia are difficult and challenging.Improving the understanding of hemobilia,timely and meticulous examination,and reasonable selection of treatment methods are the keys to improving the diagnosis and treatment of hemobilia.

关 键 词：胆道出血 内镜 诊断 治疗 

分 类 号：R573.2[医药卫生—消化系统]