原发性肝癌破裂出血的急诊介入治疗与临床有效性研究  

Study on Emergency Interventional Therapy and Clinical Effectiveness of Primary Hepatocellular Carcinoma Rupture Hemorrhage

作　　者：杜品清 刘云国 胡毅 Du Pinqing(The People's Hospital of Leshan Central district,Leshan Sichuan 614000)

机构地区：[1]乐山市市中区人民医院放射科,四川乐山614000

出　　处：《黑龙江医药》2020年第2期393-395,共3页Heilongjiang Medicine journal

摘　　要：目的:分析原发性肝癌破裂出血的急诊介入治疗与临床有效性。方法:选择2012年1月至2019年1月我院收治的65例原发性肝癌破裂出血患者为研究对象,对其开展急诊介入治疗,分析结果。结果:本组65例患者均取得了有效止血。有2例患者由于休克相当严重而死亡。6例患者门静脉部分或者完全阻塞。4例患者在进行栓塞术后3~7天内成功实施肝癌肿瘤切除手术。剩余53例患者使用明胶海绵以及碘化油完成栓塞。结论:对于肝癌破裂出血患者来讲,在对其开展抢救时应当选择肝脏血管动脉栓塞治疗。这样能够达到立即止血的目的,也在一定程度上确保了患者肝脏正常供血,并且也能够为后期实施TACE治疗提供无限可能,此值得进一步推广。Objective:To analyze the emergency interventional therapy and clinical effectiveness of primary liver cancer rupture hemorrhage.Methods:65 patients with rupture hemorrhage of primary liver cancer admitted to our hospital from January 2012 to January 2019 were selected as the research objects,and emergency interventional treatment was conducted for them,and the results were analyzed.Results:all the 65 patients in this group obtained effective hemostasis.Two patients died of severe shock.Six patients had partial or complete portal vein obstruction.Four patients were successfully resected within 3-7 days after embolization.The remaining 53 patients underwent embolization with gelfoam and iodinated oil.Conclusion:for patients with liver cancer rupture hemorrhage,hepatic arterial embolization should be selected in the rescue.In addition to achieving the purpose of immediate hemostasis,this action also ensures the normal blood supply to the liver of patients to a certain extent,and also provides unlimited possibilities for the later implementation of TACE treatment,which is worth further promotion.

关 键 词：原发性肝癌破裂 急诊 介入治疗 碘化油 明胶海绵 

分 类 号：R735.7[医药卫生—肿瘤]