肝癌破裂出血介入治疗围手术期死亡分析

目的 分析影响肝癌破裂出血介入治疗围手术期生存的因素.方法 收集2007年1月～2011年4月我院肝癌破裂的病例,对介入治疗围手术期生存进行回顾性分析.结果 37例入组病人,其中主要的起病症状为腹胀6例,头晕3例,腹痛28例.通过单因素分析发现在影响患者围手术期生存的因素中肌酐水平、门静脉瘤栓、休克、APACHEⅡ评分、白蛋白、Child分级、胆红素有显著差异,肝功能衰竭是围手术期的主要死亡原因.结论 腹痛是肝癌破裂的最常见主诉.肌酐水平、门静脉瘤栓、休克、APACHEⅡ评分、白蛋白、Child评分、胆红素是影响患者围手术期生存的危险因素,肝功能衰竭是围手术期的主要死亡原因.

Peri-operation survival after transarterial embolization for spontaneous ruptured hepatocellular carcinoma

Objective To examine the peri-operation survival of patients with spontaneous ruptured hepatocellular carcinoma treated with transarterial embolization （TAE）. Methods Patients with spontaneous ruptured hepatocellular carcinoma, performed by transarterial embolization in our hospital from Jan, 2007 to Apr, 2011 were collected and the peri-operation survival of patients were studied retrospectively. Results A total of 37 patients were enrolled in this study. Of those cases, 6 cases were involved with distension, 3 were involved with dizziness, 28 suffered with abdominal pain. The facts with statistical significance were creatinine level, portal vein thrombosis, shock, APACHE II scores, albumin level, Child-Pugh scores, bilirubin level. Hepatic failure was the main death causes of peri-operation. Conclusion In patients with spontaneous ruptured hepatocellular carcinoma, the main symptom is abdominal pain. In this study, the significant risk factors for decreasing the peri-operation survival were creatinine level, portal vein thrombosis, shock, APACHE II scores, albumin level, Child-Pugh scores, bilirubin level. Hepatic failure is the main death causes of peri-operation.