摘要
目的探讨肝外伤中发生血胆症的发病机制、临床特点及防治措施。方法对2001年1月至2010年12月168例肝外伤中发生的8例血胆症患者进行回顾性研究,分析其诊治特点。结果 168例肝外伤中发生血胆症8例,发生率4.8%。其中肝破裂缝合修补术后3例,不规则肝脏清创切除术后2例,填塞止血术后3例。发生胆道出血的时间均在术后4周内。8例均行了再次手术,其中1例再手术2次。治愈7例,死亡1例。结论血胆症是肝外伤术后少见的严重并发症,是一种非典型的胆道出血,以手术治疗为主,对肝外伤创面进行彻底清创止血是防治本症的关键。
Objective To investigate the pathogenesis,clinical features,prevention and treatment of hemobilia in liver trauma.Methods The clinical data of 8 patients with hemobilia among 168 cases of liver trauma were retrospectively studied from 2001,01 to 2010,12 in our hospital,and the data of diagnosis and treatment were analyzed.Results 8 patients among 168cases of liver trauma were complicated with hemobilia（4.8%）.In this group,3 case were caused by the mending of rupture in the liver,2 case were caused by anomalo-resection of the liver and debridement,3case were caused by plugging hemostasis of the liver.Hemobilia occurred in 4 week after the operation of liver trauma.Four patients underwent reoperation,one patient underwent two reoperations.Among these patients,7 cases were cured and 1 case died.Conclusion Hemobilia is a severe complication secondary to postoperative of liver trauma,and on atypical biliary tract haemorrhagia.Operation is the major means for its management,complete debridement and careful hemostasis in the injured area of the liver play a key role in prevention of hemobilia.
出处
《安徽医学》
2011年第6期761-762,共2页
Anhui Medical Journal
关键词
肝脏
外伤
血胆症
Liver
Trauma
Hemobilia
