31例肝癌破裂出血诊治分析  

Diagnosis and treatment of 31 cases with rupture of liver cancer

作　　者：骆彪[1] 唐惠君[1] 曾红文[1] 朱伟东[1] 王渊璟[1] 骆佳[1] 谭春祁[2] 

机构地区：[1]广东省惠对市人民医院外科,516002 [2]湖南省肿瘤医院腹外科,长沙410006

出　　处：《岭南现代临床外科》2002年第3期136-138,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的 探讨肝癌破裂出血的诊断和治疗。方法 对1990～2000年收治的31例肝癌破裂患者进行回顾性分析。在31例患者中,27例采用手术治疗,4例采用保守治疗。结果 在4例保守治疗患者中仅1例获得成功,而3例在1周内死于出血性休克。在27例外科手术治疗患者中,术后2周内死亡5例,其中2例死于再出血休克,3例死于肝功能衰竭。23例获得随访,其存活时间均在6个月以上。结论 肝癌破裂出血的治疗应以止血与保肝为主,同时遵循治疗肝癌的基本原则;选用不同治疗方法必须个体化。Objective To investigate the diagnosis and treatment for rupture and bleeding of the liver cancer. Metheds From 1990 to 2000, the management of 31 cases with rupture of liver cancer were analyzed retrospectively. Among 31 cases, 27 cases with surgical treatment and 4 cases with conservative treatment were successful, and 3 cases died from hemorrhagic shock within l week. In the 27 cases with surgical treatment, 2 cases died from re-hemorrhagic shock and 3 cases died from hepatic failure within 2 weeks postoperatively. Follow-up study was obtained in 23 cases and the survival time was more than 6 months. Conclusion The most important management of rupture and bleeding of the liver cancer are hemostasis and protecting liver function. At the same time, the therapeutic basie principle of liver cancer should be followed. The selection of therapeutic mothods must be individualization

关 键 词：肝癌 破裂出血 诊断 治疗 

分 类 号：R6[医药卫生—外科学]