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总结分析56例原发性肝癌（PHC）自发性破裂患者临床特点及处理。发现腹痛是PHC自发破裂最常见症状，其次有腹膜炎体征、休克等。治疗PHC自发破裂手术方式包括压迫、破裂修补、肝动脉结扎、栓塞、肝叶切除等措施。经以上综合治疗，患者肝切除后1，2，3，5年生存率分别为72.7％，36.4％，9.1％与9.1％。PHC自发破裂以切除病灶为首选术式，术中采用多种措施预防癌细胞残留种植，辅以门静脉系统化疗可提高PHC自发破裂患者生存率。
The clinical features and treatment of spontaneous rupture of primary liver cancer (PHC) in 56 patients were analyzed. Found that abdominal pain is the most common symptoms of PHC spontaneous rupture, followed by peritonitis signs, shock and so on. Treatments for spontaneous rupture of PHC include compression, rupture repair, hepatic artery ligation, embolization, and hepatectomy. After the above comprehensive treatment, the 1, 2, 3, and 5-year survival rates after hepatectomy were 72.7%, 36.4%, 9.1%, and 9.1%, respectively. The spontaneous rupture of PHC to remove the lesion is the preferred surgical technique. Various measures are taken during surgery to prevent the residual cancer cells from being planted. The use of portal vein system chemotherapy can improve the survival rate of patients with spontaneous rupture of PHC.