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作 者:陆彦杉 滕春兰 黄嘉欣 LU Yanshan;TENG Chunlan;HUANG Jiaxin(Division of Hepatobiliary Surgery,Affiliated Tumor Hospltal of Guang xi Medical University,Nanning,Guangxi 530021,China)
机构地区:[1]广西医科大学附属肿瘤医院肝脏胆道病区,广西南宁530021
出 处:《医药前沿》2023年第27期42-46,共5页Journal of Frontiers of Medicine
摘 要:肝细胞癌(HCC)自发性破裂出血进展为破裂性肝细胞癌(rHCC),rHCC是HCC致命性并发症之一。rHCC病情危重、复杂,治疗和护理困难。目前临床上的治疗方法有保守治疗、介入治疗、手术治疗等,既往rHCC直接被纳入T4期,但现有研究表明及时治疗和护理可以有效控制病情进展,延长患者生存时间。本文对rHCC的诊断、发病机制、治疗和急救护理进行综述,以期为临床医生诊疗提供指导,为急救护理提供经验。The spontaneous rupture and bleeding progression of hepatocellular carcinoma(HCC)to ruptured hepatocellular carcinoma(rHCC)is one of the fatal complications of HCC.The condition of rHCC is critical and complex,making treatment and care difficult.At present,the clinical treatment methods include conservative treatment,interventional therapy,surgical treatment,etc.In the past,rHCC was directly included in the T4 phase.However,existing studies have shown that timely treatment and care can effectively control the progression of the disease and prolong the patient’s survival time.This article reviews the diagnosis,pathogenesis,treatment,and emergency care of rHCC,hoping to provide guidance for clinical doctors in diagnosis and treatment,and provide experience for emergency care.
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