肝癌自发性破裂出血的诊断和治疗

目的:探讨肝癌自发性破裂出血的临床表现、发病机理及治疗方法。方法:对31例肝癌自发性破裂患者进行回顾性分析。结果:该组肝癌自发性破裂出血患者中,手术治疗26例,选择性肝动脉栓塞3例,保守治疗2例,所有患者均经相应的保守治疗或手术治疗和围手术期处理而出血得以控制。结论:准确的诊断、积极有效的围手术期处理与正确的术中处理或有效的保守治疗措施是肝癌自发性破裂出血治疗的重要保障。

Diagnosis and Treatment of Spontaneous Rupture and Bleeding of Liver Cancer

Objective: To explore the clinical formation causes, diagnosis and treatment for rupture and bleeding of the liver cancer. Methods: 31 cases of patients with rupture and bleeding of the liver cancer were analyzed by retrospective analysis. Results: 26 patients were treated by operation, 3 patients were treated by selective hepatic artery angiography and embolization, 2 patients were treated by conservative therapy. All patients were healed by corresponding therapeutic managements. Conclusions: Good results of hemobilia patients can be achieved by accurate diagnosis, exact operation and active peri-operative management or effective conservative therapy.