Etiology and management of hemmorrhage in spontaneous liver rupture:a report of 70 cases

作     者：Zhe-Yu Chen Qing-Hui Qi Zuo-Liang Dong,Department of surgery,General Hospital of Tianjin Medical University,Tianjin 300052,China 

作者机构：Department of surgery General Hospital of Tianjin Medical University China. 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2002年第8卷第6期

页      面：1063-1066页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：自发性肝破裂 出血 病因 手术管理 

摘      要：AIM: To analyze the causes and management of hemorrhage in spontaneous liver ***: Seventy cases of spontaneous liver rupture were retrospectively analyzed for causes of hemorrhage and therapeutic effects of surgical ***: It was demonstrated that the causes of spontaneous liver rupture were primary liver cancer in 60 cases (85.7 %), cirrhosis in 3 cases (4.3 %), liver angioma in 2 cases (2.9 %), liver adenoma in 4 cases (5.7 %),and secondary liver cancer in 1 case (1.4 %). Hemostasis was achieved with surgical approaches in 68 cases (97.1 %) and non-surgical approaches in 2 cases (2.9 %). Surgical interventions induded suture, ligation of hepatic artery, hepatic artery chemoembolization and partial hepatic ***: The results suggest that surgical intervention is still the main therapeutic method and the best procedure that should be selected according to causes of disease and patient s condition and history.