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本文报道22例原发性肝癌破裂出血患者.其中20例经剖腹探查证实,2例经尸检证实.治疗方法:1例作癌瘤切除,2例采用肝动脉结扎,17例应用大网膜、明胶海绵、止血粉等局部填塞止血.20例中完全或基本止血17例,无效3例.采用内科对症治疗2例均无效.本文重点探讨了肝癌破裂出血的诱因、诊断要点、误诊分析及治疗方法.特别提出肝癌破裂出血亦可为肝癌的首发症状,值得提高警惕.
This article reported 22 cases of patients with primary liver cancer ruptured hemorrhage. Among them, 20 cases were confirmed by laparotomy and 2 cases were confirmed by autopsy. Therapeutic methods: 1 case for cancer resection, 2 cases for hepatic artery ligation, and 17 cases for large omentum. Gelatin sponge, hemostatic powder and other local filling hemostasis. 20 cases of complete or basic hemostasis in 17 cases, ineffective in 3 cases. The use of medical symptomatic treatment in 2 cases are invalid. This article focuses on the causes of liver cancer rupture bleeding, diagnosis, misdiagnosis analysis and treatment Methods. In particular, hepatoma rupture can also be the first symptom of liver cancer, which warrants vigilance.