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目的:探讨以发热为主要表现的肝癌的诊断与治疗方法。方法:回顾性分析近期收治的10例以发热为主要表现的肝癌患者的临床资料。结果:10例中4例在外院诊断为肝癌,6例误诊为肝脓肿,予以抗感染治疗较长时间。患者入院后经积极支持治疗,并良好控制体温,6例行经皮肝动脉插管化疗栓塞(TACE)治疗,4例行手术治疗,1例术后2周死亡。9例随访结果提示总体预后不佳,均于治疗后2个月至1年内死亡。结论:以发热为主要表现的肝癌应与肝脓肿相鉴别。对于此类患者,首选手术切除。
Objective: To investigate the diagnosis and treatment of liver cancer with fever as the main manifestation. Methods: A retrospective analysis of 10 cases recently admitted to the main manifestations of fever as the clinical data of patients with liver cancer. Results: Of the 10 cases, 4 cases were diagnosed as HCC in the outpatient hospital and 6 cases were misdiagnosed as liver abscess. Anti-infective therapy was given for a long time. After admission, the patients received active supportive therapy and well controlled body temperature. Six patients underwent percutaneous transhepatic arterial chemoembolization (TACE). Four patients underwent surgery and one patient died after two weeks. Nine cases of follow-up results suggest that the overall prognosis is poor, both in the treatment of 2 months to 1 year of death. Conclusion: Hepatoma with fever as the main manifestation should be differentiated from liver abscess. For such patients, the preferred surgical resection.