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死于尖锐石块。一例致命的胆道出血病例。

Death from a sharp stone. A fatal case of haemobilia.

作者信息

Broderick N J, Cullen M H, Jones J S, Fletcher J

出版信息

Postgrad Med J. 1981 Jun;57(668):396-7. doi: 10.1136/pgmj.57.668.396.

Abstract

A case of fatal gastrointestinal haemorrhage due to haemobilia as a direct result of cholelithiasis is described. Erosion of a branch of the cystic artery by a stone was shown to be the source of the bleeding at post-mortem. The features of the haemobilia syndrome are discussed.

摘要

本文描述了一例因胆石症直接导致的致命性胆道出血引起的胃肠道出血病例。尸检显示,结石对胆囊动脉分支的侵蚀是出血的来源。文中讨论了胆道出血综合征的特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/132c/2424907/8bd24234b89d/postmedj00222-0060-a.jpg

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本文引用的文献

1
Biliary tract hemorrhage as a cause of hematemesis.
Arch Surg. 1961 Jul;83:67-72. doi: 10.1001/archsurg.1961.01300130071008.
3
Hemobilia.胆道出血
N Engl J Med. 1973 Mar 22;288(12):617-9. doi: 10.1056/NEJM197303222881207.
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Hemobilia.
Surg Clin North Am. 1973 Oct;53(5):1191-201. doi: 10.1016/s0039-6109(16)40146-5.
5
The treatment of haemobilia.
Br J Surg. 1978 Apr;65(4):252-3. doi: 10.1002/bjs.1800650410.

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