肝癌自发性破裂出血是原发性肝癌的严重并发症,大部分患者无明确的肝病史,且因老年人发病较多,而老年人体弱,反应差,病史叙述不详细,缺乏典型的体征,易被误诊误治。肝癌一旦破裂出血,愈后较差,病死率在40%～80%[1]。但如能及时正确地诊断并采取最恰当的治疗措施,仍能改善患者的 Spontaneous rupture of liver cancer is a serious complication of primary liver cancer, most patients have no definite history of liver disease, and the incidence of more elderly people, and the elderly frail, poor response, medical history is not detailed, lack of typical signs, Easy to be misdiagnosed and mistreated. Once the rupture of liver cancer, the more the worse, the mortality rate of 40% to 80% [1]. However, if the timely and correct diagnosis and take the most appropriate treatment can still improve the patient’s