Nigro John J, Arroyo Hector, Theodorou Demitri, Velmahos George C, Bremner Ross M
Department of Cardiothoracic Surgery, Keck School of Medicine, University of Southern California, Los Angeles County University of Southern California Medical Center, 90033, USA.
Ann Thorac Surg. 2002 May;73(5):1645-7. doi: 10.1016/s0003-4975(01)03464-6.
Biliptysis is a dramatic physical finding which suggests the presence of a direct communication (fistula) between the biliary and bronchial tree. We report a bronchial biliary fistula resulting from penetrating thoracoabdominal trauma and the use of positive-pressure ventilation to obtain initial fistula control prior to definitive surgical repair.
胆汁咳出是一种引人注目的体格检查发现,提示胆道与支气管树之间存在直接相通(瘘管)。我们报告一例因胸腹穿透伤导致的支气管胆管瘘,并在进行确定性手术修复前,使用正压通气来初步控制瘘管。