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目的总结肝癌破裂出血的外科治疗经验。方法分析本院32例肝癌破裂出血患者不同外科治疗方式的效果。结果19例行肝叶或肝段切除者均取得了较好效果。结论肝癌破裂出血应根据病因和患者的具体情况来决定手术方式,急诊肝癌切除不仅达到止血目的,而且应作为肝癌破裂出血的首选治疗方法。
Objective To summarize the experience of surgical treatment of ruptured hepatocellular carcinoma. Methods The effect of different surgical treatments on 32 patients with ruptured hepatocellular carcinoma was analyzed. Results All 19 patients who underwent hepatic lobe or hepatectomy had good results. Conclusion Hepatocellular carcinoma hemorrhage should be determined according to the etiology and the patient’s specific circumstances. Emergency liver cancer resection not only achieves the purpose of hemostasis, but also should be used as the first choice for treatment of ruptured hepatocellular carcinoma.