Particularity and Treatment Strategy of Patients with Hemobilia Taking Anticoagulants

Abstract：Objective:To explore the clinical manifestations,treatment and particularity of patients with hemobilia taking anticoagulant in perioperative period.Method:The clinical manifestations,diagnosis and treatment process of 23 cases with hemobilia in our hospital from January 1998 to December 2012 were analyzed retrospectively.Result:Most of patients with biliary tract hemorrhage of upper gastrointestinal bleeding symptoms,there were 6 cases with cholangitis as the first symptom.Can generally be found by B-ultrasound and CT primary lesion,and the celiac artery through duodenoscopy angiography.12 cases were given surgery,4 cases selective arterial embolization,conservative treatment in 7 cases.For patients taking warfarin anticoagulation vitamin K1 was available,depending on the circumstances of aspirin treatment in patients with perioperative available low molecular weight heparin(LMWH) transition.19 cases cured,accounting for 82.6%,4 cases were deaths,accounting for 17.4%.Conclusion:The good results of hemilia patient could be achieved by accurate diagnosis,exact operation and active perioperative management or effective conservative therapy.