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1.本文总结我院(1956—1979)23年所收治的原发性肝癌自发破裂20例,进行了临床分析。2.对肝癌自发破裂的发病率,破裂的机制,误诊的原因,诊断及鉴别诊断进行讨论。3.据本组资料肝癌破裂50%在一个月内死亡,提示我们应争取积极抢救,对于肝癌自发破裂的外科治疗,明胶海绵填塞压迫止血,肝动脉结扎以及紧急的肝叶切除的适应症进行了探讨。
1. This article summarizes the spontaneous rupture of primary liver cancer that was treated in our hospital (1956-1979) for 23 years and carried out clinical analysis. 2. Discuss the incidence of spontaneous rupture of liver cancer, the mechanism of rupture, the reasons for misdiagnosis, diagnosis and differential diagnosis. 3. According to this group of data, 50% of ruptured liver cancer died within a month, suggesting that we should strive for active rescue, surgical treatment of spontaneous rupture of liver cancer, gelatin sponge packing compression and hemostasis, hepatic artery ligation, and indications for urgent liver lobectomy. Discussed.