原发性肝癌破裂出血48例诊治的临床分析

Diagnosis and treatment on rupture and hemorrhage of primary liver cancer: analysis of 48 cases

目的总结原发性肝癌破裂出血诊治的经验。方法对48例原发性肝癌破裂出血患者的临床资料进行回顾性分析。结果保守治疗5例,其中4例保守治疗成功,1例保守治疗后经肝动脉栓塞(TAE)治疗。TAE治疗19例,15例治疗成功,2例自动出院,2例死于肝性脑病和肝肾功能衰竭。手术治疗24例,20例治疗成功,4例术后死于肝肾功能衰竭、肝性脑病和失血性休克。治疗总有效率为87.50%(42/48),病死率为12.50%(6/48)。结论充分评估病情及选择适当的治疗方法对原发性肝癌破裂出血治疗有重要意义。

Objective To summarize the experience in diagnosis and treatment of rupture and hemorrhage of primary liver cancer M. ethods The clinical data was retrospectively analyzed in 48 patients who suffered from rup-ture and hemmorrhage of primary liver cancer .Results In 5 patients received conservative treatment , 4 patients ob-tained successful treatment ,one patient received hepatic artery embolization （ TAE） after conservative treatment .In 19 patients received TAE , 15 patients obtained successful treatment , 2 patients discharged voluntarily , 2 patients died of hepatic encephalopathy and liver and kidney failure .In 24 patients received surgical treatment , 20 patients obtained successful treatment , 4 patients died of liver and kidney failure , hepatic encephalopathy and hemorhagic shock .The total effective rate was 87.50%（42/48）, the total mortality rate was 12.50%（6/48）.Conclusion Fully assessing the disease condition and choosing the appropriate treatment method for the treatment of rupture and hemorrhage of primary liver cancer is important .