摘要：目的 探讨胆道大出血的病因、诊断与治疗方法.方法 对2000年8月至2009年8月20 例胆道出血患者的临床资料进行回顾性分析.结果 20例均先行保守治疗, 4例治愈, 7例行肝动脉血管造影术与栓塞术,6例止血成功, 1例失败,后经手术治疗痊愈.共有10例经保守治疗无效后手术治疗,均未发生再出血,无死亡病例.结论 在条件允许的情况下, 肝动脉血管造影与栓塞是术后胆道出血诊断治疗的首选,如果非手术治疗无效或栓塞疗法失败,则应积极手术治疗. Abstract： Objective To investigate the etiopathogenisis, diagnosis and treatment for massive hemobilia.Methods A retrospective analysis was made on the clinical data of patients with massive hemobilia from Aug. 2000 to Aug. 2009.Results All of the 20 patients accepted conservative therapy and 4 cases cured. Six patients were cured and 1 was failed after hepatic artery angiography and embolization for the 7 patients.At last, 10 cases were treated by operation methods and all of patients were cured and none died.Conclusions If condition is permitting, hepatic artery angiography and embolization are the first choices for the patients with massive hemobilia.On the other hand, surgical procedures should be operated actively if conservative therapy and hepatic artery embolization are failed.

关键词：术后胆道出血 大出血 临床分析 massive hepatic 

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