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患者,男性,52岁,因反复呕血、腹痛、黄疸1年有余而入院。1年前无诱因腹绞痛,发烧、黄疸、呕血,行部腹探查见胆囊积血,行胆囊切除术。以后经常反复胆道出血,曾做DSA揭示肝右动脉破入胆道。并栓塞止血。入院查体:一般情况尚可。肝掌,无蜘蛛痣,肝大,肋下3cm,剑下4cm,脾不大,B超提示在肝右叶可探及1片稍状低回声区.其间出血1次行DSA见肝动脉增粗,呈杵状,并行栓塞止血治疗,术后做肝CT见肝右
The patient, male, 52 years old, was admitted to hospital because of repeated hematemesis, abdominal pain, and jaundice for more than one year. 1 year ago no cause of abdominal cramps, fever, jaundice, vomiting, abdominal examination revealed gallbladder hemorrhage, cholecystectomy. After repeated biliary haemorrhages, DSA was performed to reveal the rupture of the right hepatic artery into the biliary tract. And embolism to stop bleeding. Admission examination: Generally acceptable. Liver palm, no spider mites, large liver, 3 cm under the ribs, 4 cm under the sword, spleen is not large, B-mode ultrasound can be found in the right lobe of the liver and a piece of slightly hypoechoic area. During this period of time, DSA sees hepatic arterial hypertrophy. Coarse, sickle-like, parallel embolization hemostasis treatment, liver CT after seeing liver right after operation