Hamoir E, Defraigne J O, Bruyninx L, Meurisse M, Honore P, Jacquet N
Service de Chirurgie Digestive, C.H.U. du Sart-Tilman, Liège, Belgique.
J Chir (Paris). 1991 May;128(5):226-30.
Two cases of hemobilia are reported; the first caused by a liver biopsy procedure, and the second ensuing an accidental liver laceration. In both cases, arteriography led to diagnosis and the ligature of the right hepatic artery stopped the hemorrhage with complete success. A review of the literature emphasizes the nowadays leading prevalence of iatrogenic hemobilia followed by those resulting from blunt abdominal liver trauma. Diagnostic facilities are reviewed and selective arteriography is stressed as being the more useful technique. From a therapeutical standpoint interventional radiology and surgery are both given their own place.
本文报告了两例胆道出血病例；第一例由肝活检操作引起，第二例继发于意外的肝脏撕裂伤。在这两例病例中，动脉造影术均明确了诊断，结扎右肝动脉成功止血。文献回顾强调了目前医源性胆道出血的主要患病率，其次是钝性腹部肝外伤导致的胆道出血。本文对诊断方法进行了综述，并强调选择性动脉造影术是更有用的技术。从治疗角度来看，介入放射学和外科手术都有各自的作用。
