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对204例中晚期肝癌患者采用Seldinger法肝动脉灌注化疗栓塞,术后并发消化道出血16例(7.84%)。结合下列七个相关临床因素进行分析出血原因并提出防治方案。结果示肝功能B、C级者(列为肝功能差者),化疗药物返流及肝硬化合并有食道静脉曲张三因素分别在出血组与未出血组间差异有显著性,而年龄、性别、门脉癌栓、介入次数四因素在两组间差异均无显著性。故术前积极改善肝功能、术中插管超选择以及血管收缩剂的预防使用等对防治出血均有必要
204 patients with advanced hepatocellular carcinoma were treated with hepatic arterial chemoembolization using Seldinger and 16 patients (7.84%) with postoperative gastrointestinal bleeding. Combine the following seven relevant clinical factors to analyze the causes of bleeding and propose prevention and treatment programs. The results showed that the liver function B, C class (listed as poor liver function), chemotherapeutic drug reflux and cirrhosis with esophageal varices three factors were significantly different between the bleeding and non-bleeding groups, and age, gender There were no significant differences in the four factors of portal vein cancer thrombosis and the number of interventions between the two groups. Therefore, actively improving liver function before surgery, intraoperative intubation over-selection, and the use of vasoconstrictor are all necessary to prevent bleeding.