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原发性肝癌破裂出血是肝癌的严重并发症之一,发病突然,病情险恶,治疗困难,死亡率较高,但如果能及时诊断,适当处理,为Ⅱ期治疗做好基础,则预后可能有明显改善。我院1993～2000年共收治原发性肝癌破裂出血17例,报告分析如下。1 临床资料1.1 一般资料 17例中男15例,女2例,年龄26～67岁,平均38岁。1.2 主要症状与体征均有右上腹及右季肋部逐渐加重的或突发急剧的持续性腹痛,腹痛逐渐弥漫至全腹,并出现轻重不同的内出血、休克体征。其中15例有肝炎、肝硬化、肝癌病史,13例有局部积压或用力、外伤的诱因。17例均行诊断性腹腔穿刺,阳性率100%。穿刺液细胞学检查11例,6例发现肝癌细胞。急诊B超检查13例,12例提示肝癌破裂
The rupture of primary liver cancer is one of the serious complications of liver cancer. Sudden onset, sinister disease, difficulty in treatment, and high mortality rate, but if timely diagnosis and appropriate treatment provide a basis for phase II therapy, the prognosis may be Significant improvement. In our hospital from 1993 to 2000, a total of 17 cases of ruptured primary hepatocellular carcinoma were treated. The report was analyzed as follows. 1 clinical data 1.1 General Information 17 cases of 15 males and 2 females, aged 26 to 67 years, an average of 38 years old. 1.2 The main symptoms and signs of the right upper abdomen and the right quarter ribs gradually increased or sudden and rapid persistent abdominal pain, abdominal pain gradually diffused to the entire abdomen, and the appearance of different internal hemorrhage, shock signs. Among them, 15 cases had history of hepatitis, liver cirrhosis, and liver cancer, and 13 cases had local accumulation of pressure or force and trauma. All 17 cases underwent diagnostic paracentesis, with a positive rate of 100%. The puncture fluid was cytologically examined in 11 cases and liver cancer cells were found in 6 cases. 13 cases of emergency B-ultrasound, 12 cases of liver cancer rupture