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本文报告7例原发性肝癌并上消化道出血的手术治疗结果，手术止血效果满意，无手术死亡。7例病人中有3例同时行肝癌切除，分别生存2年，1年8个月及1年4个月。我们认为在肝癌合并上消化道出血的早期，应积极行手术止血，如有可能应同时处理肝原发肿瘤，本式选择以断流加脾切除为好，对不能同时切除的肝病灶，术后可行介入栓塞治疗。
This article reports the results of surgical treatment of 7 cases of primary hepatocellular carcinoma and upper gastrointestinal bleeding. The results of surgical hemostasis were satisfactory and there was no operative death. Three of the 7 patients underwent hepatectomy at the same time and survived for 2 years, 1 year, 8 months and 1 year and 4 months respectively. We believe that in the early stages of hepatocellular carcinoma with upper gastrointestinal bleeding, surgical hemostasis should be actively performed. If possible, liver primary tumors should be treated at the same time. This type of choice should be performed by cutting off splenectomy as well as for liver lesions that cannot be removed at the same time. After interventional embolization.