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肝自发性破裂出血虽是原发性肝癌(简称肝癌)严重而又常见的并发症,但不少患者发生肝破裂前不知患有肝癌,急症诊断就颇不易,以致贻误治疗、预后极差。我院自1982年2月~1988年8月,就将以肝破裂血腹为首发症状的9例肝癌破裂者,误诊为其他疾病收治。现对本组病例误诊原因作如下剖析。临床资料一、性别、年龄:本组男8例,女1例;年龄43~67岁,平均55.3岁;发病前均否认患肝癌或外伤。
Although spontaneous rupture of liver hemorrhage is a serious and common complication of primary liver cancer (abbreviated as liver cancer), many patients do not have liver cancer before liver rupture. The diagnosis of acute disease is not easy, resulting in delayed treatment and poor prognosis. In our hospital from February 1982 to August 1988, nine cases of ruptured liver cancer with liver ruptured hemorrhage as the first symptom were misdiagnosed as other diseases. The reasons for misdiagnosis in this group of cases are analyzed as follows. Clinical data 1. Sex and age: There were 8 males and 1 female in this group; aged 43 to 67 years old, with an average age of 55.3 years; all patients were denied liver cancer or trauma before the onset.