【摘要】目的:探讨原发性肝癌(PHC)自发破裂出血的诊治特点及预后。方法:回顾性分析2000年1月至2008年l2月我院收治的26例PHC破裂出血患者的临床资料。结果:26例患者中:保守治疗1例;行手术治疗23例,其中17例行肝切除术、3例肝动脉结扎加修补术、3例单纯填塞加修补术;单纯肝动脉栓塞(TAE)治疗3例。结论:正确及时的诊断和治疗能够提高PHC自发破裂出血病人的生存率,对肝癌破裂出血病人应积极手术治疗.手术治疗不仅是原发性肝癌破裂急诊止血的有效、安全方法,手术切除肿瘤也是降低PHC破裂出血病人死亡率的主要手段。

    【关键词】原发性肝癌;自发破裂出血

    An Analysis of Diagnosis and Treatment of Primary HepaticCarcinomawith Spontaneous Rupture and Hemorrhage in 26 Cases

    Wang WeiChen Weiping

    【Abstract】Objective:To analyze the influence of diagnosis and surgical treatment of spontaneous ruptureand hemorrhage in patients with primary hepatic carcinoma(PHC) on prognosis.Methods:26consecutivepatients with spontaneous rupture and hemorhage of HCC who had been admitted to our hospital from January 2000 to December 2008 Were revieWed retrospectively.Results:Among the 26 patients:1 had been treated medical conservative management ;23 had been treated by operation,In those cases hepatectomy had been performed in 17 patients ,3 cases preform ed ligation of com mon hepatic artery,3 cases packing; TAE alone 3.Conclusion:The prolonged survival couldbe achieyed through accuratelv and timely diagnosis and treatment and For patients with spontaneous repture andbleeding of primary liver cancer,surgical resection should be performed. not only operation is safe and effective forhemorrhage due to spontaneous rupture in hepatocellular carcinoma,but also the resection of the tumor is still a mainmeasure for reducing the mortality in patients with ruptured PHC. ......