通过对２６例原发性肝癌自发性破裂出血的分析，我们体会到通过详细询问病史和体检、腹部穿刺、常规Ｂ超检查可以早期明确诊断。治疗以肝切除为最佳选择，其次为选择性肝动脉分支结扎，瘤内无水酒精注射、肝固有动脉结扎和瘤内填塞效果差。 Through the analysis of 26 cases of primary hepatocellular carcinoma spontaneous rupture bleeding, we realized that early diagnosis can be made through detailed history and physical examination, abdominal puncture, and routine B-ultrasound. Treatment with hepatectomy was the best choice, followed by selective hepatic arterial branch ligation. Intratumoral ethanol injection, hepatic proper artery ligation, and intratumoral tamponade were poor.