原发性肝癌自发性破裂出血的介入动脉栓塞治疗

目的：研究原发性肝癌自发性破裂出血的介入动脉栓塞治疗的方法。方法：回顾性分析38例肝癌破裂出血病人采用急诊介入栓塞止血的方法。结果：本组38例均有效止血。1例由于严重休克肝动脉栓塞治疗后3天死于肝、肾衰竭。余均无复发出血及经肝动脉栓塞（TAE）后急性肝功能衰竭。其中6例在栓塞术后3～7天内成功施行肝肿瘤切除术，31例明胶海绵栓塞术后，根据病情多次行介入治疗，肿瘤均有不同程度的缩小和坏死。结论：TAE 是治疗肝癌破裂出血的有效方法，可达到立即止血的目的，同时可为肝癌后续血管内治疗提供途经。

Angio -interventional treatment on spontaneous rupture and bleeding of primary liver carcinoma

Objective:To summarize the experiences of the angio -interventional treatment on spontaneous rupture and bleeding of primary liver carcinoma.Methods:Emergent angio -interventional embolic treatment on 38 patients with spontaneous rupture and bleeding of primary liver cancer were analyzed retrospectively.Results:Hemorrhage stopped effectively in all 38 cases.One hemorrhagic shock case died of hepatic and nephric function depletion after three days'transcatheter arterial embolization(TAE)treatment.There were no recurring hemorrhage and acute hepatic function depletion after the treatment in the rest cases.During 3 to 7 days after embolization,hepatectomy was per-formed successfully in 6 patients and none of them died.Repeated interventional embolic treatments were performed according to patients'conditions in other 31 cases,and there were minification and necrosis in carcinomas with differ-ent degree.Conclusion:TAE is an effective therapy method on spontaneous rupture and bleeding of primary liver car-cinoma because of its hemostatic effect.