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[外伤性血胆症的治疗]

[Therapy of traumatic hemobilia].

作者信息

Schubert W, Dosch A, Schaps P, Mikulin D, Grosche D

机构信息

Klinik für Chirurgie, Medizinische Akademie, Carl Gustav Carus, Dresden.

出版信息

Z Kinderchir. 1990 Oct;45(5):308-10. doi: 10.1055/s-2008-1042607.

Abstract

Haematobilia is caused by a pathological linking of the arterial vascular system and intrahepatic or extrahepatic bile ducts. This report presents the case of a traumatic haematobilia in a child. Possibilities to achieve safe diagnosis are discussed and suggestions for treatment are considered. In the case presented here, occlusion of the arteriobiliar shunt is effected by means of a rejectable balloon catheter according to Serbinenko. This method has been successfully tried in neurosurgery and developed further, and can be applied to similar disease patterns in disciplines other than neurosurgery.

摘要

胆道出血是由动脉血管系统与肝内或肝外胆管的病理性连接引起的。本报告介绍了一名儿童创伤性胆道出血的病例。讨论了实现安全诊断的可能性,并考虑了治疗建议。在本文介绍的病例中,根据塞尔比宁科的方法,使用可拒绝的球囊导管实现了动静脉分流的闭塞。该方法已在神经外科成功尝试并进一步发展,可应用于神经外科以外其他学科的类似疾病模式。

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