65例原发性肝癌自发性破裂出血的手术与非手术治疗分析

摘要

Objective To evaluate the curative effect of operation and non-operation for spontaneous rupture with hemorrhage of primary hepatic carcinoma(SRHC).Methods The data were retrospectively analyzed on the curative effect of operation and non-operation 65 cases of SRHC in my hospital from 1998 to 2008.Results All 65 cases had the manifestations of acute abdomen ache and acute peritonitis, and all positive with iconography inspection and abdomen puncture.In 13 cases of non-operation (20%),death occurred in 6 cases (46.2% of non-operation cases). In 52 cases of operation (80% of total cases),death occurred in 3 caese (5.8% of operation cases).Conclusion The case history,clinical manifestations, iconography inspection and abdomen puneture are important in the diagnosis of SRHC. The emergency operation is must effective therapeutic method for SRHC.%目的 分析原发性肝癌自发性破裂出血的手术与非手术治疗效果.方法 回顾我院1998～2008年65例原发性肝癌自发性破裂出血的临床资料,并对手术治疗和非手术治疗的效果进行分析.结果 65例的临床表现均有急性上腹部疼痛和急性腹膜炎表现,影像学检查和腹腔穿剌均呈阳性.65例中52例行急诊手术治疗(占80%),死亡3例(占手术治疗的5.8%);非手术治疗13例(占20%),死亡6例(占非手术治疗的46.2%).结论 病史、临床表现、影像学检查及腹腔穿剌是主要的诊断手段,急诊手术治疗仍是本病最为有效的治疗方法.