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肝细胞癌特别是合并肝硬化者破裂时,多数患者由于手术治疗或处理出血困难而死亡。本文报告11例肝细胞癌并肝硬化发生自发性肝细胞癌破裂的患者。经输血或其他治疗如输入新鲜冰冻血浆、液体、电解质及止血剂等均无效。患者呈休克或肝脏严重失代偿,不能施行手术。经超声波证实门静脉主干通畅的8例中,除2例家属拒绝治疗外,6例采用经动脉插管栓塞法(transcatheter arterial embolization,TAE),均能有效控制出血。经 TAE 后4例配合输
When hepatocellular carcinoma, especially with cirrhosis, ruptures, most patients die as a result of surgery or bleeding difficulties. This article reports 11 patients with hepatocellular carcinoma and cirrhosis of patients with spontaneous hepatocellular carcinoma rupture. Transfusion or other treatment such as the importation of fresh frozen plasma, liquid, electrolytes and hemostatic agents are invalid. Patients were shocked or severely decompensated liver, surgery can not be performed. Of the 8 patients confirmed by portal vein patency with ultrasound, 6 were treated with transcatheter arterial embolization (TAE), both of whom were excluded from treatment, and were able to effectively control bleeding. After 4 cases with TAE lose