Hirai K, Kawazoe Y, Yamashita K, Kumagai M, Nagata K, Kawaguchi S, Abe M, Tanikawa K
Am J Gastroenterol. 1986 Apr;81(4):275-9.
For the last 6 yr, we had 47 cases of spontaneous rupture of hepatocellular carcinoma causing hemorrhage into the peritoneal cavity. Thirty-three cases were treated by supportive care and 14 cases by emergency transcatheter arterial embolization. Fourteen cases underwent emergency transcatheter arterial embolization and abdominal pain developed in 71.4%, shock in 50.0% and bloody ascites in all cases and the hematocrit of bloody ascites ranged between 1.0% and 40%. On hepatic angiogram, the mean tumor extent rate was 47.9% and the extravasation of the contrast material was noted in 35.7%. The mean survival time of 14 cases that underwent emergency transcatheter arterial embolization was 98.5 days and 13.0 days in 33 cases with supportive care. The former was significantly longer than the latter.
在过去6年中，我们收治了47例肝细胞癌自发性破裂并导致腹腔内出血的病例。33例采用支持治疗，14例接受急诊经导管动脉栓塞术。14例行急诊经导管动脉栓塞术的患者中，71.4%出现腹痛，50.0%出现休克，所有患者均有血性腹水，血性腹水的血细胞比容在1.0%至40%之间。肝血管造影显示，平均肿瘤范围率为47.9%，35.7%可见造影剂外渗。14例行急诊经导管动脉栓塞术患者的平均生存时间为98.5天，33例接受支持治疗患者的平均生存时间为13.0天。前者明显长于后者。
