Whittle T S
South Med J. 1977 Nov;70(11):1355-6. doi: 10.1097/00007611-197711000-00032.
Serious intrahepatic hemorrhage with hemoperitoneum after percutaneous liver biopsy is a rare but potentially fatal complication. This paper describes a fatality following liver biopsy with a Menghini needle, the first to our knowledge occurring without pre-existing liver disease. The bleeding was thought to result from laceration of dilated vessels near the periphery of the liver, a condition which cannot be predicted by any means presently available. One should be cognizant of the fact that although percutaneous liver biopsy is an extremely safe procedure in competent hands, it nevertheless carries a very definite risk and should neither be used injudiciously nor taken lightly. This case should serve as a reminder of this fact.
经皮肝穿刺活检术后发生严重肝内出血并伴有腹腔积血是一种罕见但可能致命的并发症。本文描述了一例使用Menghini针进行肝穿刺活检后的死亡病例，据我们所知，这是首例在无既往肝脏疾病的情况下发生的此类病例。出血被认为是由于肝脏周边扩张血管的撕裂所致，目前尚无任何方法能够预测这种情况。人们应该认识到，尽管经皮肝穿刺活检在技术熟练的操作者手中是一种极其安全的操作，但它仍然存在明确的风险，既不应滥用也不可轻视。这个病例应作为这一事实的警示。
