Läckgren G, Lörelius L E, Olsen L, Wassén C
Department of Pediatric Surgery, University Hospital, Uppsala, Sweden.
J Pediatr Surg. 1988 Feb;23(2):105-8. doi: 10.1016/s0022-3468(88)80134-9.
During a 10-year period we have encountered three cases of hemobilia among children after blunt abdominal trauma. All patients had the classical symptoms with varying degrees of severity. One of the patients, a 5-year-old boy, had several episodes of severe gastrointestinal bleeding, abdominal pain, and jaundice during a 2-month period. He was treated with selective arterial embolization of the left hepatic artery. The symptoms ceased instantly, and the patient has remained healthy during an observation period of more than 2 years. In cases of hemobilia, selective arterial embolization is a safe method with no serious complications. Arterial collaterals develop very quickly and the risk of liver dysfunction is small. We suggest that embolization of hepatic arteries may be the treatment of choice even in small children with hemobilia.
在10年期间，我们遇到了3例儿童钝性腹部创伤后发生的胆道出血病例。所有患者均有典型症状，严重程度各不相同。其中一名患者是一名5岁男孩，在2个月内出现了几次严重的胃肠道出血、腹痛和黄疸。他接受了左肝动脉选择性动脉栓塞治疗。症状立即消失，在超过2年的观察期内患者一直保持健康。在胆道出血病例中，选择性动脉栓塞是一种安全的方法，没有严重并发症。动脉侧支循环发展非常迅速，肝功能障碍的风险很小。我们建议，即使是小儿胆道出血，肝动脉栓塞也可能是首选治疗方法。
