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目的:探讨肝癌自发性破裂出血的临床表现、发病机理及治疗方法。方法:对31例肝癌自发性破裂患者进行回顾性分析。结果:该组肝癌自发性破裂出血患者中,手术治疗26例,选择性肝动脉栓塞3例,保守治疗2例,所有患者均经相应的保守治疗或手术治疗和围手术期处理而出血得以控制。结论:准确的诊断、积极有效的围手术期处理与正确的术中处理或有效的保守治疗措施是肝癌自发性破裂出血治疗的重要保障。
Objective: To investigate the clinical manifestations, pathogenesis and treatment of spontaneous rupture of liver cancer. Methods: 31 cases of spontaneous rupture of liver cancer patients were retrospectively analyzed. Results: In this group of patients with spontaneous rupture of hepatocellular carcinoma, surgical treatment of 26 cases, selective hepatic artery embolization in 3 cases, conservative treatment in 2 cases, all patients were conservative treatment or surgical treatment and perioperative bleeding control . Conclusion: Accurate diagnosis, positive and effective perioperative management and correct intraoperative management or effective conservative treatment is an important guarantee for the treatment of spontaneous rupture of liver cancer.