胆道探查取石术后肝固有动脉与胆总管形成内瘘出血合并失血性休克行肝动脉修补术的液体治疗经验
Chinese Journal of General Surgery（2013）
Abstract
患者男,65岁.因"右上腹绞痛,伴发热、黄疸1周"入院.1年前曾因胆囊结石行腹腔镜胆囊切除术.入院后行MRCP检查诊断为胆总管结石,遂行腹腔镜胆道探查取石、T管引流术.术中胆道镜探查发现胆总管中段结石嵌顿,给予液电碎石后取出.术后恢复顺利,术后第12天夹闭T管出院.出院后第3天(术后第15天),患者因"呕血,黑便"再次入院,行胃镜检查未发现胃及十二指肠明显出血,经输血、补液后,病情平稳.
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