关键词: 胆胰手术, 术后出血, 治疗

Abstract: Postoperative hemorrhage after pancreato-biliary surgery: Diagnosis and treatment        YANG Xin-wei*, FU Xiao-hui,YU Wen-long, et al.*Department of Biliary Surgery II, Eastern Hepatobiliary Surgery Hospital, Naval Medical University, Shanghai 200438, China
Corresponding author: ZHANG Yong-jie, E-mail: yang16jing@163.com
YANG Xin-wei, FU Xiao-hui and YU Wen-long are the first authors who are contributed equally to the article
Abstract    Due to the complex causes of bleeding, difficult judgement of the bleeding site, severe bleeding and its repeated occurrence, serious situation, poor treatment effect, resulting in poor prognosis and high mortality, severe hemorrhage after pancreato-biliary surgery brings a lot of confusion to clinical treatment. Management of severe hemorrhage after pancreato-biliary surgery should be done according to the time of bleeding occurrence, the coincident complications and the initial operative procedure. Interventional angiography and embolization are relatively safe and efficacious methods. However, in the case of failure after interventional therapy, emergency relaparotomy should be transferred as soon as possible.

Key words: pancreato-biliary surgery, postoperative bleeding, treatment