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我院从1989年～1998年共收治原发性肝癌172例,其中肝癌自发性破裂出血16例,占9.3％,手术死亡3例,占18.8％。现将我们的诊治体会报告如下。 1 临床资料 本组男12例,女4例,年龄22～77岁,平均58岁。腹胀16例,休克13例,突发肝区或上腹部剧烈疼痛12例,伴腹膜刺激症状10例,心慌、胸闷3例。诊断性腹腔穿刺抽出不凝血15例。原有肝炎病史3例,有慢性胆囊炎、胆囊结石4例,冠心病3例,合
In our hospital from 1989 to 1998 a total of 172 cases of primary liver cancer were treated, of which 16 cases of spontaneous rupture of hepatic cancer, accounting for 9.3%, 3 cases of surgical death, accounting for 18.8%. The report of our diagnosis and treatment is as follows. 1 clinical data The group of 12 males and 4 females, aged 22 to 77 years, mean 58 years old. There were 16 cases of abdominal distention, 13 cases of shock, 12 cases of sudden severe liver or epigastric pain, 10 cases of peritoneal irritation, and 3 cases of palpitation and chest tightness. Diagnostic abdominal paracentesis did not clot in 15 patients. History of original hepatitis in 3 cases, chronic cholecystitis, gallstones in 4 cases, coronary heart disease in 3 cases,