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胆道出血的血管造影诊断与治疗

Angiographic diagnosis and treatment of hemobilia.

作者信息

Hirsch M, Avinoach I, Keynan A, Khodadadi J

出版信息

Radiology. 1982 Sep;144(4):771-2. doi: 10.1148/radiology.144.4.6896756.

Abstract

Hemobilia (bleeding from the biliary tract) may be secondary to trauma, inflammatory disorders, gallstones, or tumor. Although it used to be rare, it is becoming more frequent due to trauma, including iatrogenic causes. The etiology is established by selective angiography, which also facilitates embolic occlusion of the arterial branches supplying the lesion. Nonsurgical control is preferable to surgical management. Two cases are reported, emphasizing the etiologic and therapeutic aspects of interventional studies of the liver.

摘要

胆道出血可能继发于外伤、炎症性疾病、胆结石或肿瘤。虽然过去较为罕见,但由于外伤,包括医源性原因,其发生率正变得越来越高。病因通过选择性血管造影确定,这也有助于对供应病变的动脉分支进行栓塞闭塞。非手术控制优于手术治疗。本文报告两例病例,着重阐述肝脏介入研究的病因及治疗方面。

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