罕见外生型肝癌1例  

One Case of Rare Exogenous Liver Cancer

作　　者：马翠翠 施卫兵[1] 郭锦晨 MA Cuicui;SHI Weibing;GUO Jinchen(The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China;Anhui University of Traditional Chinese Medicine,Anhui Hefei 230038,China)

机构地区：[1]安徽中医药大学第一附属医院,安徽合肥230031 [2]安徽中医药大学,安徽合肥230038

出　　处：《中医药临床杂志》2024年第11期2219-2222,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：长三角名中医工作室建设项目(皖财社[2021]324号);安徽省施卫兵名中医工作室建设项目(安徽省卫健委中发展[2020]10号)。

摘　　要：外生型肝癌是一种特殊类型的肝细胞癌,属罕见病,易发生肿瘤破裂出血等致死性并发症,西医以手术、介入治疗为主。报告运用中西医结合治疗不能手术、介入治疗的外生型肝癌1例,该患者以血性腹水、甲胎蛋白升高为主要特征,西医以保肝利尿、支持对症治疗为主,中医治以益气健脾、化瘀止血、软坚散结为大法,配合中医外治。经治患者腹水消退、肿瘤指标下降,病情稳定。Exogenous liver cancer is a special type of hepatocellular carcinoma,which is a rare disease and prone to fatal complications such as tumor rupture and bleeding.Western medicine mainly uses surgery and interventional treatment.A case of exogenous liver cancer that cannot be treated with surgery or intervention was reported using a combination of traditional Chinese and Western medicine.The patient was mainly characterized by bloody ascites and elevated alpha fetoprotein.Western medicine focused on liver protection,diuresis,and supportive symptomatic treatment,while traditional Chinese medicine mainly used methods such as tonifying qi and spleen,removing blood stasis and stopping bleeding,and softening hardness and dispersing nodules,combined with external treatment of traditional Chinese medicine.After treatment,the patient's ascites subsided,tumor indicators decreased,and the condition stabilized.

关 键 词：外生型肝癌 血性腹水 益气健脾 化瘀止血 软坚散结 

分 类 号：R259[医药卫生—中西医结合]