急诊肝叶(段)不规则切除治疗肝癌破裂出血

Irregular liver resection for hepatocellular carcinoma rupture complicating with hemorrage in emergency

目的 :探讨肝叶 (段 )不规则切除治疗肝癌破裂出血的疗效。方法 :回顾分析我院 1992年至 2 0 0 2年采用不同手术方法治疗肝癌破裂出血患者。结果 :术中失血性休克死亡 1例 ,术后两周内并发肝功能衰竭死亡 2例。其余病例随访 ,存活时间 7月至 5年。结论 :肝癌破裂出血病人应争取一期切除。

Objective: To discuss the curative effect of irregular liver segment resection for heptaocellur carcinama rupture complicating with hemorrage. Methods: 38 cases were reviewed in the past ten years. Results: 1 case died from shock during operation.2 cases died from liver functional failure in two weeks, the other survived 7 momths-5 years by follow-up. Conclusions: Ruptured heptaocellur carcinamas in emergency should be tried for first-staged removal.