Experience of emergency treatment of spontaneous rupture of primary liver cancer
10.3760/cma.j.issn.1673-4203.2014.07.009
- VernacularTitle:原发性肝癌自发性破裂出血的急诊处治体会
- Author:
Hongwei ZHANG
;
Binhua WANG
;
Bin LI
;
Tinghao CHEN
- Publication Type:Journal Article
- Keywords:
Liver neoplasms,primary;
Rupture,spontaneous;
Emergency treatment
- From:
International Journal of Surgery
2014;41(7):457-460
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience of emergency treatment of primary liver cancer rupture bleeding and improve the level of diagnosis and treatment of the disease.Methods From October 2008 to December 2012.The clinical data of 11 patients with spontaneous rupture of primary liver cancer were analyzed retrospectively.Results Three cases were given conservative treatment.Among them,1 case died,2 bleeding cases were hemostasis,8 cases were operated.Surgical operation is the main method of emergency treatment.The effect after operation was satisfactory.1 case with liver tumor resection died in the first days after the operation,1 case was transferred to higher level hospitals for further treatment because massive ascities in third days after operation,6 cases were successfully discharged,survival rate was over 3 months.Conclusions In the process of emergency treatment we should pay attention to reduce the rate of misdiagnosis and missed diagnosis.When the diagnosis was confirmed,we must treat the shock and plan an active operation scheme.Operation mode can be selected of tumor resection or simple hemostatic gauze tamponade suture hemostasis,saving lives of patients in the shortest time is the goal of emergency treatment.
