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首页> 外文期刊>ANZ journal of surgery >Management of spontaneous rupture of hepatocellular carcinoma.
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Management of spontaneous rupture of hepatocellular carcinoma.

机译：肝细胞癌自发性破裂的处理。

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BACKGROUND: Management of patients with spontaneous rupture of hepatocellular carcinoma in a single centre is reported and the diagnosis and treatment are discussed. METHODS: The clinical presentations, diagnosis and treatment of 28 cases of spontaneous rupture of hepatocellular carcinoma were reviewed. RESULTS: Twenty-six patients had sudden right upper-quadrant abdominal pain and 53.5% patients were in hypovolaemic shock on admission. The median survival of the patients who received one-stage, two-stage tumour resection and only transarterial embolization was 370, 483.5 and 60 days, respectively. The prognosis of the patients who underwent only conservative treatment or surgical haemostasis was poor. CONCLUSION: Transarterial embolization is the treatment of choice for those who are haemodynamically unstable on admission. Careful evaluations, including functional liver reserve, coagulopathy, tumour size and location should be made before tumour resection.
机译：背景：在一个中心报道了肝细胞癌自发性破裂的治疗，并讨论了诊断和治疗方法。方法：回顾性分析28例肝细胞癌自发性破裂的临床表现，诊断和治疗方法。结果：26例患者突然出现右上腹腹痛，入院时出现低血容量性休克的比例为53.5％。接受一期，二期肿瘤切除和仅经动脉栓塞的患者的中位生存期分别为370天，483.5天和60天。仅接受保守治疗或手术止血的患者预后较差。结论：经动脉栓塞是入院时血流动力学不稳定的患者的首选治疗方法。肿瘤切除前应仔细评估，包括功能性肝储备，凝血病，肿瘤大小和位置。

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