Rupture of hepatocellular carcinoma analysis of emergency percutaneous coronary intervention.docVIP

 PAGE \* MERGEFORMAT 11 Rupture of hepatocellular carcinoma analysis of emergency percutaneous coronary intervention Spontaneous rupture of hepatocellular carcinoma is a serious complication of liver cancer, accounting for 10% of liver cancer death [1], the incidence of 2.5% and 20% [2]. Due to the dual factors of bleeding and tumor led to clinical treatment more difficult, in the past multi-line hepatic artery ligation or emergency liver resection, but there is a high case fatality inaccurate or efficacy. January 2002 ~ August 2004 I used the emergency interventional embolization method of treatment of 16 patients with liver rupture in patients with satisfactory efficacy, these are as follows. 1 Data and methods 1.1 General Information In this group were collected 16 cases of liver rupture, 14 males and 2 females; aged 33 to 67 years, with an average 49 years old, which has a clear history of eight cases of liver cancer. Clinical manifestations are more severe pain with peritoneal irritation sign, of which three cases of hemorrhagic shock. 16 cases underwent abdominal paracentesis confirmed the intra-abdominal hemorrhage. 6 routine color Doppler ultrasound examination, 10 routine CT examinations are prompted to rupture of hepatocellular carcinoma. Spontaneous rupture of hepatocellular carcinoma in 13 cases (of which 6 patients with large central area of the tumor necrosis, capsular rupture; 8 cases of color Doppler ultrasound, see the formation of tumor blood vessels around the hematoma), other factors that increase intra-abdominal pressure, such as cough, vomiting and other concurrent liver rupture in 3 cases. Cases, right lobe of liver Massive hepatocellular carcinoma in 14 cases, diffuse liver cancer 1 case, nodular liver cancer 1 case; bleeding sites in the liver after right lower lobe in 10 cases, liver right anterior leaf in 2 cases, the right lobe of liver ( diaphragmatic surface) in 3 cases, left lobe of liver in 1 case. 1.2 Methods Artery emboli