【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。更多还原

【Abstract】 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 patients, 5 cases 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 hemobilia,and it may be the first way for iatrogenic hemobilia.更多还原