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首页 > 医学词汇大全 > Hemobilia
Hemobilia

消化

关键词消化 疾病 胆道疾病

词汇介绍

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解析

hemobilia 英 [hi:məʊ'bɪljə] 美 [hi:moʊ'bɪljə]
释义   n. [内科] 胆道出血
例句   Hemobilia is manifested by upper gastrointestinal bleeding.
胆道出血表现为上消化道出血。

概述

由于损伤或感染等原因导致肝内、外胆管与毗邻血管之间形成病理性内瘘,血液经胆管流入十二指肠,称为胆道出血。胆道出血在上消化道出血病因中居第五位。 病因(1)胆道感染或结石是造成胆道出血的首位原因;(2)损伤致胆道出血;(3)其他原因,如肝动脉瘤、肝癌等。 临床表现与出血量及速度有关。病人多有外伤、胆管结石感染、蛔虫、肿瘤或肝胆手术史。大量出血的典型表现有:①消化道出血:便血或呕血;②胆绞痛;③黄疸。出血量大导致休克者应考虑动脉出血。血凝块堵塞胆管时引起胆绞痛和黄疸。胆道出血

Hemobilia: historical overview, clinical update, and current practices复制标题

胆道出血: 历史概述、临床更新和当前实践

发表时间:2019-08-15

影响因子:5.5

作者: Alex Zhornitskiy

期刊:Liver International

Hemobilia refers to macroscopic blood in the lumen of the biliary tree. It represents an uncommon, but important, cause of gastrointestinal bleeding and can have potentially lethal sequelae if not promptly recognized and treated. The earliest known reports of hemobilia date to the 17th century, but due to its relative rarity and challenges in diagnosis, it has historically not been well-studied. Until recently, most cases of hemobilia were due to trauma, but the majority now occur as a sequelae of invasive procedures involving the hepatopancreatobiliary system. A triad (Quincke’s) of right upper quadrant pain, jaundice, and overt gastrointestinal bleeding has been classically described in hemobilia, but it is present in only a minority of patients. Therefore, prompt diagnosis depends critically on a high index of suspicion based on a patient’s clinical presentation and a history of recently undergoing hepatopancreatobiliary intervention or having other predisposing factors. Treatment of hemobilia depends on the suspected source and clinical severity and thus ranges from supportive medical care to urgent advanced endoscopic, interventional radiologic, or surgical intervention. In the present review, we provide a historical perspective, clinical update, and overview of current trends and practices pertaining to hemobilia.

译文

血友病是指胆管腔内的肉眼可见的血液。它代表了胃肠道出血的罕见但重要的原因,如果不能及时识别和治疗,可能会产生潜在的致命后遗症。最早的关于胆道出血的报道可以追溯到17世纪,但由于其相对稀有和诊断方面的挑战,它在历史上尚未得到很好的研究。直到最近,大多数胆道出血病例都是由于创伤,但现在大部分是作为涉及肝胰胆管系统的侵入性手术的后遗症而发生的。右上腹疼痛,黄疸和明显消化道出血的三联征(Quincke's)在胆道出血中已经被典型地描述,但它仅存在于少数患者中。因此,根据患者的临床表现和最近接受肝胰胆管介入或有其他诱发因素的病史,及时诊断主要依赖于高度怀疑指数。胆道出血的治疗取决于可疑的来源和临床严重程度,因此范围从支持性医疗护理到紧急的晚期内窥镜,介入放射学或外科手术干预。在本次审查中,我们提供了历史观点,临床更新以及与胆道出血有关的当前趋势和实践的概述。