原发性肝细胞癌可以出现各种不同的临床表现,黄疸是其中常见的临床表现之一,多见于病程的晚期约为8.9～50％,而血清胆红素增高者可高达43～70％。其发生的原因很多,其中以含有肿瘤组织的血凝块、胆泥所形成的癌栓阻塞胆道,并以梗阻性黄疸作为首发症状出现较为少见。现将我院2例报道如下。 Primary hepatocellular carcinoma can present with various clinical manifestations. Astragalus membranaceus is one of the common clinical manifestations. It is more common in the late stage of the disease, which is approximately 8.9 to 50%, while the serum bilirubin may be as high as 43 to 70%. . There are many reasons for this, of which the presence of obstructive jaundice as the first symptom occurs due to obstruction of the biliary tract by a clot formed by blood clots and bile mud. Two cases in our hospital are reported below.