隐匿性胆道出血误诊原因及诊治分析  

THE MISDIAGNOSIS REASON AND ANALYSIS OF OBSCURE HEMOBILIA

作　　者：蔡海[1] 莫锦良[1] 

机构地区：[1]江苏省宜兴市人民医院普外科,宜兴214200

出　　处：《肝胆外科杂志》2003年第3期211-212,共2页Journal of Hepatobiliary Surgery

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 1 991年～ 2 0 0 0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。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.

关 键 词：胆道出血 隐匿性 血管造影术 误诊 胆道镜 

分 类 号：R657.4[医药卫生—外科学]