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患者,男,67岁,以“肝癌”收住入院.巩膜及皮肤无黄染,未及腹部包块,无腹水.彩色超声检查示肝右前叶有 5.3cm ×4.1cm肿块,肝功能正常,钡餐检查提示十二指肠球部陈旧性溃疡.全麻下手术,术中见全肝明显硬化,肝脏缩小,第Ⅷ段肿块约 9cm ×6cm,紧贴第二肝门,估计患者难以承受切除术.遂经胃网膜右动脉,在手指指引下,插管至肝右动脉.先注入美蓝,右半肝染色,再采用“水门汀疗法”,分别
Patient, male, 67 years old, admitted to hospital with “liver cancer”. The sclera and skin were not yellow-stained, had no abdominal mass, and no ascites. Color ultrasound showed a 5.3cm × 4.1cm mass in the right anterior lobe of the liver, with normal liver function. Barium meal examination suggests duodenal bulb old ulcers. Surgery under general anesthesia, see liver hardened during surgery, liver shrinks, segment VIII mass is about 9cm × 6cm, close to the second porta hepatis, it is estimated that the patient is difficult to withstand resection The right gastroesophageal artery under the guidance of the finger, intubation to the right hepatic artery. Methylene blue first injection, right hepatic liver staining, and then use “hydraulin therapy”, respectively