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目的 探讨肝癌破裂出血的诊治原则及影响预后的有关因素。方法 收集该院确诊治疗的肝癌破裂内出血患者共 5 9例 ,分析归纳了有关的临床表现、诊断依据、治疗方法 ,总结肝癌破裂出血患者的诊治原则及影响治疗预后的有关因素。结果 手术组术中无一例死亡 ,术后因并发症死亡 2例 ;保守治疗组均好转出院。 5 6例出院患者中 ,7例行Ⅱ期手术治疗或肝动脉栓塞介入化疗。结论 原发性肝癌的早期预防、早期诊断、早期手术治疗 ,是减少肝癌破裂出血的最有效手段。当发生肝癌破裂出血时 ,必须遵循一定的诊治原则 ,并注意影响治疗预后的因素。
Objective To investigate the diagnosis and treatment principles of hepatocellular carcinoma with ruptured hemorrhage and related factors that affect the prognosis. Methods A total of 59 patients with intrahepatic ruptured liver hemorrhage diagnosed and treated in our hospital were collected. The clinical manifestations, diagnosis basis and treatment methods were summarized and analyzed. The diagnosis and treatment principles of patients with hepatocellular carcinoma with ruptured hemorrhage and the factors affecting the prognosis were summarized. Results There was no death in the operation group and 2 deaths due to complications in the operation group. All patients in the conservative treatment group were discharged. Among 56 discharged patients, 7 patients underwent stage II surgery or hepatic arterial embolization. Conclusion Early prevention, early diagnosis and early surgical treatment of primary liver cancer are the most effective measures to reduce the bleeding of liver cancer. When the occurrence of liver cancer rupture bleeding, must follow certain principles of diagnosis and treatment, and pay attention to the factors that affect the prognosis of treatment.