Rupture of primary liver cancer

By | April 12, 2012

Rupture of primary liver cancer, 1. Etiology:
liver tissue ischemia, necrosis, liquefaction, the gradual thinning of hepatocellular carcinoma caused by rupture of the wall.
the surrounding liver portal vein pressure increased.
increased intra-abdominal pressure factors, such as coughing, constipation, difficulty urinating and other factors can induce spontaneous rupture of hepatocellular carcinoma.
external force.
Rupture of primary liver cancer 2. Clinical manifestations: the rupture of small, less bleeding, the patient had mild limitation of right upper quadrant abdominal pain. When broken big mouth, bleeding for a long time, and often dramatic onset, severe symptoms. Patients with sudden severe abdominal pain, bloating, nausea, vomiting, paleness, cold sweats, bleeding and other symptoms of rapid pulse rain, severe shock can occur. Obvious abdominal tenderness, rebound tenderness, muscle tension and other peritoneal irritation. Percussion can have shifting dullness. If the disease progresses rapidly to death due to hemorrhagic shock.
3. Diagnosis:
has hepatitis, cirrhosis history.
sudden right upper quadrant pain, shoulder to the Department of Radiology, abdominal pain quickly spread to the whole abdomen. Whole abdomen with peritoneal irritation, and shifting dullness. Patients may have shock.
abdominal puncture can not coagulated blood out.
B Super, CT can be found rupture of hepatic lesions and wounds, peritoneal effusions.
small amount of bleeding, fast enough, as circumstances permit, angiography in the diagnosis of liver rupture of great value.
Rupture of primary liver cancer, 4. Treatment:
(1) broken mouth smaller, less blood loss, such as by supporting the treatment of bleeding, and more can be healed without need for surgery.
(2) openings such as liver rupture, conservative treatment is often difficult to work. Should actively be shock treatment, while rescue operations were positive surgical methods include: surgical suture, Tai touch packing, gauze packing, hepatic artery ligation, as the case selection.

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