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作者对351例肝癌患者做了942次肝动脉插管碘油和盐酸阿霉素栓塞化疗(TOCE),其中126例同时作了明胶海绵栓塞,作者总结出TOCE术后出现较严重的并发症患者在术前大都存在易患因素。 1.出现严重的栓塞后综合征33例。即持续7天或7天以上的恶心、呕吐、高烧或需止痛药的腹痛。统计结果得出,当肿瘤直径大于9cm及给予明胶海绵栓塞治疗会显著地提高该并发症的发生率。 2.肝功能损害。即指Child-Pugh评分为2级以
The authors performed 942 hepatic arterial catheterizations of lipiodol and doxorubicin hydrochloride embolization (TOCE) in 351 patients with hepatocellular carcinoma. Of these, 126 patients underwent gelatin sponge embolization at the same time. The authors concluded that patients with severe complications after TOCE surgery Most of the preoperative risk factors exist. 1. There were 33 cases of severe post-emboli syndrome. That is, nausea, vomiting, high fever or abdominal pain requiring painkillers for 7 or more days. The statistical results show that when the tumor diameter is greater than 9cm and gelatin sponge embolization treatment will significantly increase the incidence of this complication. 2. Liver damage. That means the Child-Pugh score is 2