患者 ,男性 ,66岁。发现肝脏肿块 2年余 ,咳嗽、胸痛、咯血3天入院。患者 1996年底因“冠心病”住院 ,Ｂ超检查中偶然发现肝脏占位性病变 ,无明显腹痛 ,无畏寒、低热、恶心、乏力及厌油、黄疸、便血、消瘦等。进一步做ＣＴ检查 ,诊断为原发性肝癌(巨块型 )。因肿块巨大 ,且患者 Patient, male, 66 years old. Found more than 2 years liver mass, cough, chest pain, hemoptysis admitted to hospital for 3 days. Patients by the end of 1996 due to “coronary heart disease” hospitalization, B-ultrasound occasionally found liver space-occupying lesions, no obvious abdominal pain, no chills, fever, nausea, fatigue and tired of oil, jaundice, blood in the stool, weight loss and so on. Further CT examination, diagnosis of primary liver cancer (bulky). Due to the huge mass, and the patient