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Clinical features of hemobilia:Report of six cases and a literature review
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- Author:
- No author available
- Journal Title:
- World Chinese Journal of Digestology
- Issue:
- 18
- DOI:
- 10.11569/wcjd.v29.i18.1071
- Key Word:
- 胆道出血;内镜;诊断;治疗
Abstract： 背景 胆道出血是上消化道出血的少见病因,胆道出血诊治是困难及具有挑战性的.目的 探讨胆道出血的原因及处理方法,提高胆道出血诊治水平.方法 分析我院2014-2018年确诊的6例胆道出血患者的临床资料、出血原因及其治疗方法,并进行相关文献复习,总结出胆道出血的诊治流程.结果 胆道出血患者6例,男性4例,女2例,26-68岁,平均年龄54.2岁.其中肿瘤病变2例,胆囊结石1例,胆囊假性动脉瘤1例;肝移植术后1例;胆道感染1例.外科手术治疗2例,内镜下治疗1例,血管介入治疗1例;内科保守治疗2例.治愈5例,失血性休克死亡1例.结论 胆道出血诊治是困难及具有挑战性,提高对胆道出血的认识,及时细致的检查和合理选择处理方式,是提高胆道出血诊治水平的关键.
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