巨大出血源于自发破裂的肝细胞癌，异戊烯基 2-氰基丙烯酸酯控制：一例报告。
Massive hemorrhage from spontaneous ruptured hepatocellular carcinoma controlled by isoamyl 2-cyanoacrylate: a case report.
机构信息
Department of Surgery, Al-Adan Hospital, Hadiyah, Kuwait.
出版信息
Med Princ Pract. 2011;20(3):297-9. doi: 10.1159/000323833. Epub 2011 Mar 29.
OBJECTIVE
To report a case of ruptured hepatocellular carcinoma with massive hemoperitoneum which was successfully controlled with isoamyl 2-cyanoacrylate.
CLINICAL PRESENTATION AND INTERVENTION
A 46-year-old Bangladeshi gentleman presented to our casualty complaining of acute abdominal pain and distension, associated with jaundice. Bedside abdominal ultrasound showed multiple focal lesions in the liver with fluid in the abdomen. The patient was vitally unstable, so he was resuscitated and underwent emergency laparotomy for massive hemoperitoneum due to a ruptured tumor nodule. Isoamyl 2-cyanoacrylate was applied to the ruptured nodule which stopped bleeding within 1-2 min.
CONCLUSION
This case shows the effectiveness of isoamyl 2-cyanoacrylate in controlling bleeding in ruptured liver tumors.
目的
报告一例巨大肝血肿破裂出血病例，采用异戊基 2-氰基丙烯酸酯成功控制出血。
临床表现和干预
一名 46 岁的孟加拉国男子因急性腹痛和腹胀、黄疸就诊于我院急诊。床边腹部超声显示肝脏内有多发性局灶性病变，腹腔内有液体。患者生命体征不稳定，因此进行复苏并紧急剖腹探查，以控制因肿瘤破裂导致的大量肝血肿。异戊基 2-氰基丙烯酸酯用于破裂的结节，1-2 分钟内止血。
结论
本病例表明异戊基 2-氰基丙烯酸酯在控制破裂肝肿瘤出血方面的有效性。
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