自发性肝破裂出血的原因与诊治体会(附42例报告)
肝破裂,,肝;破裂;自发性;治疗,1临床资料,2讨论,【参考文献】
【摘要】 目的 探讨自发性肝破裂出血的原因和诊治策略。方法 回顾性研究42例自发性肝破裂病例,分析肝破裂出血的原因以及诊治方式。结果 采取开腹手术止血39例,介入手术止血3例。出血原因包括原发性肝癌破裂、肝血管瘤破裂、肝硬化结节破裂、肝腺瘤破裂、肝脂肪瘤破裂、肝紫斑病破裂和继发性肝癌破裂。结论 原发性肝癌和肝硬化结节破裂出血预后凶险。手术止血是救治自发性肝破裂的主要方法,对于肝占位性病变,应综合考虑,力争行肝切除术。【关键词】 肝;破裂;自发性;治疗
Surgical treatment of spontaneous hepatorrhexis:a report of 42 cases
WANG Xuelun,ZHANG Qingyi,ZHU Jianyong.
Department of General Surgery,The 478th Hospital of PLA,Kunming 650200,China
【Abstract】 Objective To explore the causes and strategy of diagnosis and treatment of spontaneous hepatorrhexis(SH).Methods Retrospectively analyzed fortytwo cases of SH from June 1996 to February 2006.Results Thirtynine abdomen and three intervention operations were performed.The causes of SH included rupture of primary hepatocellular carcinoma,liver cirrhosis ......
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