Gugenheim J, Ciardullo M, Traynor O, Bismuth H
Service de Chirurgie Hépato-Biliaire, Hôpital Paul Brousse, Villejuif, France.
Ann Surg. 1988 Jan;207(1):90-4. doi: 10.1097/00000658-198801000-00017.
Reported herein are 16 cases of nontraumatic bronchobiliary fistula in adults observed over 32 years. The fistulas were due to either biliary obstruction or infectious diseases involving the liver. All patients had biloptysis and other respiratory symptoms, and most had cholangitis, jaundice, and/or sepsis. The diagnosis was established by fistulography or cholangiography. All patients except one were treated surgically by relief of biliary obstruction and drainage of intra-abdominal abscesses. All 15 surgically treated patients had a successful outcome. Rapid diagnosis and early treatment of septic complications are necessary, but careful assessment and surgical relief of the biliary obstruction are essential in successfully treating this condition.
本文报告了32年间观察到的16例成人非创伤性支气管胆管瘘病例。这些瘘管是由胆道梗阻或累及肝脏的传染病引起的。所有患者均有咯胆汁及其他呼吸道症状，多数患者有胆管炎、黄疸和/或败血症。通过瘘管造影或胆管造影确诊。除1例患者外，所有患者均接受了手术治疗，解除胆道梗阻并引流腹腔脓肿。15例接受手术治疗的患者均取得了成功的结果。迅速诊断和早期治疗感染性并发症是必要的，但仔细评估并通过手术解除胆道梗阻对于成功治疗这种疾病至关重要。
