原发性肝癌破裂出血35例诊治体会

Primary ruptured liver cancer with hemorrhage 35 patients experience of diagnosis

目的研究及探讨原发性肝癌自发性破裂出血的诊治方法。方法我院2004年12月至2011年11月收治的肝癌破裂出血患者35例,回顾性分析出血原因及诊治方法。结果手术28例,行不规则肝叶切除术,2例术后肝功衰竭死亡,其他26例手术患者均康复。2例病情较轻的患者通过保守治疗病情好转出院,3例全身状况和肝功差未手术的患者保守治疗无效,死于失血性休克。2例选择性肝动脉栓塞的患者,1例术后死于肝肾功能衰竭,l例出血得以控制。结论急诊手术可有效止血并同时切除肿瘤。如患者的病情允许,根治切除肿瘤应作为首选。

Objective Studies and explores the spontaneous rupture of primary liver cancer diagnosis and treatment of bleeding. Methods Our hospital in December 2004 to November 2011 were ruptured liver cancer with hemorrhage patients 35 patients, Bleeding reason were analyzed retrospectively, diagnosis and treat- ment. Results 28 cases surgery, ＂rregular liver resection do ,2 cases of postoperative liver failure death, other 26 cases surgery patients were recovered. 2 cases of illness lighter patients through the conservative treatment im- proved hospital discharge, 3 cases of whole body condition and liver meritorious service was poor not surgery pa- tients to conservative treatment is invalid, died of uncontrolled hemorrhagic shock. 2 cases of selective hepatic artery embolization of patients, 1 case postoperative died of liver/kidney failure, 1 patients to control bleeding. Conclusion Emergency surgery can effectively stop bleeding and at the same time the tumor. If a patient＇ s condition allows, radical resection of the tumor should be the first.