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原发性肝癌自发性破裂出血(下称肝癌破裂)是肝癌严重并发症之一,国外报道肝癌破裂占同期住院病例的8%～14.5%,国内为4.8%～25.7%。肝癌破裂发病突然,病情凶险,治疗棘手,预后极差。但如能得到及时和有效的救治,可延缓患者生命。笔者就此进行有关文献回顾,对其治疗概述如下。 1 内科保守治疗包括卧床、限制活动、肝区加腹带包扎压紧、静脉输注止血药物、补充凝血因子等,有效地输血、补液抗休克治疗,辅以抗炎和护肝治疗。余氏等对肝癌破裂出血56例
Primary liver cancer spontaneous rupture (hereinafter referred to as liver cancer rupture) is one of the serious complications of liver cancer, foreign reports of liver cancer rupture accounted for 8% to 14.5% of hospitalized cases in the same period, the domestic 4.8% to 25.7%. The incidence of liver cancer rupture suddenly, dangerous condition, the treatment of intractable, poor prognosis. However, if timely and effective treatment can delay the patient’s life. The author conducted a review of the literature, the treatment of which is summarized as follows. 1 conservative medical treatment, including bed rest, limited activities, liver plus abdominal bandage compression, intravenous infusion of hemostatic drugs, blood coagulation factors, etc., effective transfusion, rehydration anti-shock treatment, supplemented by anti-inflammatory and liver protection treatment. Yu and other liver cancer ruptured 56 cases of bleeding