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目的 探讨肝细胞癌介入治疗后并发急性上消化道大出血的原因及其处理方法。方法 肝癌139例经股动脉插管至肝固有动脉 ,注入化疗药及碘油 (10～ 2 0ml)混悬剂。结果 15例介入治疗后出现上消化道出血 ,经降门静脉压等治疗 ,13例出血停止 ,2例死亡。结论 碘油逆流入门静脉引起门静脉压升高和加重原有门静脉高压是出血的主要原因 ,降低门静脉压是治疗该症的有效方法。
Objective To investigate the causes and treatment of acute upper gastrointestinal bleeding after interventional treatment of hepatocellular carcinoma. Methods 139 cases of hepatocellular carcinoma were intubated to the proper hepatic artery via the femoral artery and the chemotherapeutic drugs and lipiodol (10 ~ 20ml) were injected into the artery. Results 15 cases of upper gastrointestinal bleeding after interventional therapy, by lowering the portal vein pressure and other treatment, bleeding stopped in 13 cases, 2 patients died. Conclusion The reverse flow of iodine into the portal vein caused by increased portal pressure and increase the original portal hypertension is the main cause of bleeding, reduce portal pressure is an effective method of treatment of the disease.