[1]钱晓军,戴定可,翟仁友,等.经皮肝穿胆汁引流术后胆道出血的临床分析[J].介入放射学杂志,2007,(10):702.
 QIAN Xiao-jun,DAI Ding-ke,ZHAI Ren-you,et al.Hemobilia after percutaneous transhepatic biliary drainage[J].journal interventional radiology,2007,(10):702.
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经皮肝穿胆汁引流术后胆道出血的临床分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2007年10期
页码:
702
栏目:
临床研究
出版日期:
2007-10-15

文章信息/Info

Title:
Hemobilia after percutaneous transhepatic biliary drainage
作者:
钱晓军戴定可翟仁友
100020北京首都医科大学附属朝阳医院放射科
Author(s):
QIAN Xiao-junDAI Ding-keZHAI Ren-youYU PingGAO KunWANG Jian-fengZHANG Shi-longLIU Jin-mei.
Department of Interventional Radiology,Beijing Chaoyang Hospital,Capital Medical University,Beijing100020,China
关键词:
黄疸淤积性经皮肝穿胆汁引流胆道出血
分类号:
R735.8
文献标志码:
B
摘要:
目的回顾经皮肝穿胆道引流术后胆道出血发生与处理措施。方法无法或不能耐受手术的梗阻性黄疸患者139例,经常规经皮肝穿胆管造影后,一步法或二步法穿刺扩张胆道,放置外引流管或内外引流管及金属内支架留置,临床观察治疗前后总胆红素指标改变及手术相关并发症,处理胆道出血。结果全部患者经皮经肝穿刺胆道引流手术成功,治疗后总胆红素明显下降,由360μmol/L降至158.2μmol/L,使用止血药物43例,11例轻微胆道出血,调整引流管及应用止血药后停止,5例严重胆道出血,4例肝动脉损伤,其中3例肝动脉栓塞治疗成功,1例失败。结论经皮经肝穿刺胆汁引流可并发胆道出血,能及时有效控制,术者应不断提高穿刺水平,减少胆道出血并发症发生。

参考文献/References:

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[7]Onden M,Okamura J,Kobayashi N,et al.Hemobilia after percutaneous transhepatic biliary drainage[J].Arch Surg,1980,115:161-164.
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备注/Memo

备注/Memo:
收稿日期:2007-03-06
基金项目:国家十一五课题资助项目(2007BAI05B06)
更新日期/Last Update: 2007-10-15