Alonso M, Reyes G, Galera M J, Allende L
Service de Chirurgie Générale, Hospital de la Santa Cruz y San Pablo, Barcelone, Espagne.
J Chir (Paris). 1991 Mar;128(3):130-2.
Spontaneous rupture of hepatoma is very rare in our means. We present 8 cases collected in our hospital. The treatment performed was direct hemostasis and packing of the bleeding area in 4 patients, ligature of the hepatic artery in two other patients and finally an hepatectomy in the remaining two. The 4 patients in whom we performed an hemostasis died during the postoperative period. The other 4, instead have a normal postoperative course. We think that the treatment of a bleeding hepatoma is hepatectomy, and when is not possible, the ligature of hepatic artery.
在我们的医疗实践中，肝癌自发性破裂非常罕见。我们呈现了我院收集的8例病例。所采取的治疗方法为：4例患者进行了出血区域的直接止血和填塞，另外2例患者进行了肝动脉结扎，最后2例患者进行了肝切除术。我们实施止血治疗的4例患者在术后死亡。而另外4例患者术后病程正常。我们认为，肝癌出血的治疗方法是肝切除术，若无法进行肝切除术，则进行肝动脉结扎。
