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原发性肝细胞癌破裂,死亡率高达84.6%。在可能的情况下,有必要进行积极的治疗。为使病人转危为安,“止血”是首选措施。肝细胞癌破裂时的治疗方法有经导管栓塞术和外科疗法。如果怀疑肝破裂,根据严重程度,在可能情况下,先行血管造影。肝破裂时,出血的部位几乎都是属于肝营养血管的动脉。因此,如果进行血管造影,就能判断是否出血、出血的部位及其程度,可酌情经导管行肝动脉栓塞术,这样能暂时止血,稳定循
Primary hepatocellular carcinoma ruptured with a mortality rate of 84.6%. Where possible, active treatment is necessary. In order to make the patient safer, “bleeding” is the preferred measure. Treatments for ruptured hepatocellular carcinoma include transcatheter embolization and surgical therapy. If suspicion of liver rupture is suspected, angiography is performed first, if possible, depending on the severity. When the liver ruptures, the site of hemorrhage is almost always the arteries of the liver’s nutrient vessels. Therefore, if an angiography is performed, it can be judged whether or not bleeding and the location of the bleeding and the extent of the bleeding can be performed via a catheter through a hepatic artery embolization as appropriate. This can temporarily stop the bleeding and stabilize the circulation.