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目的探讨原发性肝癌自发性破裂出血的发病机制及诊治方法。方法回顾性分析25例肝癌自发性破裂患者的临床资料,保守治疗4例,介入治疗6例,手术治疗15例。结果患者均有急性上腹部疼痛表现,影像学检查和腹腔穿刺均阳性;保守治疗、介入治疗及手术治疗术后病死率分别为75%(3/4)、16.7%(1/6)、20%(3/15)。结论原发性肝癌破裂出血行肝切除术可以有效彻底地止血,是一种安全,可行的方法。
Objective To investigate the pathogenesis and diagnosis and treatment of spontaneous rupture of primary liver cancer. Methods The clinical data of 25 patients with spontaneous rupture of liver cancer were retrospectively analyzed. Among them, 4 were conservative treatment, 6 were interventional therapy and 15 were surgical treatment. Results All the patients had acute upper abdominal pain, and the imaging examination and paracentesis were positive. The postoperative mortality rates of conservative treatment, interventional therapy and surgical treatment were 75% (3/4), 16.7% (1/6), 20 % (3/15). Conclusions Hepatectomy can effectively and completely stop the bleeding of primary liver cancer with ruptured hemorrhage. It is a safe and feasible method.