肝细胞癌自发性破裂出血的临床特点、CT征象及其预测

Spontaneous rupture of hepatocell ular carcinoma: the clinical characters,CT findings and predictio n

目的 :观察肝癌自发性破裂出血的临床特点、CT征象及预测。方法 :临床与 CT对照观察。结果 :2 5例的主要临床表现为急性上腹部疼痛、腹腔内出血、失血性休克 ;CT主要表现显示肿瘤外凸 (1 9例 ) ,肝外侵犯 (1 5例 ) ,肿瘤中心坏死、囊变 (2 5例 ) ,门脉癌栓 (2 2例 )。结论 :肿瘤外凸和肝外受侵可作为肝癌自发性破裂出血的预测观察指标。

Objective: To observe the clinical,CT findings and prediction of spontaneous rupture and hemorrha ge in hepatocellular carcinoma(HCC) Methods: The CT comparison observati on Results: The main clinical manife stations were acute abdominal pain,h emoperioneum and hypovolemic shock T he CT manifestations showed that pre sence of tumor protrusion( n =19),extr ahepatic invasion( n =15),central necr osis( n =25),and tumor embolism in por tal veins( n =22) Conclusion: The pres ence of tumor protrusion and extrahe patic invasion are closely related t o tumor rupture in predicting in HCC