破裂性肝细胞癌的研究现状与急救护理进展

Research status and emergency nursing progress of ruptured hepatocellular carcinoma

肝细胞癌(HCC)自发性破裂出血进展为破裂性肝细胞癌(rHCC),rHCC是HCC致命性并发症之一。rHCC病情危重、复杂,治疗和护理困难。目前临床上的治疗方法有保守治疗、介入治疗、手术治疗等,既往rHCC直接被纳入T4期,但现有研究表明及时治疗和护理可以有效控制病情进展,延长患者生存时间。本文对rHCC的诊断、发病机制、治疗和急救护理进行综述,以期为临床医生诊疗提供指导,为急救护理提供经验。

The spontaneous rupture and bleeding progression of hepatocellular carcinoma(HCC)to ruptured hepatocellular carcinoma(rHCC)is one of the fatal complications of HCC.The condition of rHCC is critical and complex,making treatment and care difficult.At present,the clinical treatment methods include conservative treatment,interventional therapy,surgical treatment,etc.In the past,rHCC was directly included in the T4 phase.However,existing studies have shown that timely treatment and care can effectively control the progression of the disease and prolong the patient’s survival time.This article reviews the diagnosis,pathogenesis,treatment,and emergency care of rHCC,hoping to provide guidance for clinical doctors in diagnosis and treatment,and provide experience for emergency care.