Reimund K P, Weis C, Brückner R, Junginger T
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes Gutenberg-Universität Mainz.
Langenbecks Arch Chir. 1990;375(6):330-2. doi: 10.1007/BF00185214.
Hematobilia is a rare complication after traumatic liver injury and has a high mortality. Clinical signs are hyperbilirubinemia and increase of bile acids in serum by rarely increased liver enzymes. Pathophysiologically there is a connection between bile duct system and liver veins. To determine the diagnosis giving rise to the clinical signs, after abdominal ultrasonography and computed tomography the ERCP seems to be the most suitable method. The treatment of hematobilia is not necessarily operative; a successful conservative therapy is also possible.
胆道出血是创伤性肝损伤后一种罕见的并发症,死亡率很高。临床症状为高胆红素血症,血清胆汁酸升高,而肝酶很少升高。病理生理学上,胆管系统与肝静脉之间存在联系。为了明确导致临床症状的诊断,在腹部超声和计算机断层扫描之后,内镜逆行胰胆管造影(ERCP)似乎是最合适的方法。胆道出血的治疗不一定需要手术;成功的保守治疗也是可行的。