目的探讨原发性胆囊癌并消化道出血(Primary Gallballder Cancer Complicating Alimentary Tract Hemorrhage,以下简称PCA)的临床分型及相应处理对策。方法分析2004-06-2009-09诊治的6例PCA的诊治策略及治疗效果评价。结果 PCA常因肿瘤破裂引起,由于肿瘤血供的复杂性使得常规手术及普通内镜止血效果均不理想。结论对于PCA患者,进行准确的分型并寻找一种有效而合理的止血方法是目前临床工作中亟待解决的问题。 Objective To investigate the clinical classification of primary gallbladder cancer and alimentary tract hemorrhage (PCA) and the corresponding treatment strategies. Methods The diagnosis and treatment of 6 cases of PCA diagnosed from June 2004 to September 2009 were analyzed. PCA results often due to rupture of the tumor, due to the complexity of the tumor blood supply makes conventional surgery and conventional endoscopic hemostatic effect are not ideal. Conclusions For PCA patients, accurate typing and looking for an effective and reasonable hemostasis are the urgent issues in clinical work.