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肝癌破裂、复发、转移先后经5次手术治疗,至今已15年6个月,而患者仍健康存活,十分罕见,现报道如下。 患者,男55岁,于1982年12月5日因右上腹隐痛伴进行性头晕、目眩14h入院。入院体查:P 125次,R 32次,BP 60/38mmHg,腹穿抽出不凝血液,诊为肝癌破裂并出血性休克。在抗休克同时手术探查,发现肝右后叶有一5cm×4cm×3cm小包块,其表面有一1.5cm大小破裂口出血,腹腔中积血约3000ml左右。吸尽积血,行肝肿物所在肝叶楔形切除(距肿物外2cm以上)。病理检查诊断为肝细胞肝癌。患者分别于1983年12月、1988年4月和1991年7月因肝肿瘤复发而行手术切除。
The rupture, recurrence, and metastasis of liver cancer have been treated with surgery for 5 times. It has been 15 years and 6 months and the patient is still healthy. It is very rare and is reported as follows. The patient, 55 years old, was admitted to the hospital on December 5, 1982 for dizziness and dizziness due to pain in the right upper quadrant. Admission examination: P 125, R 32, BP 60/38 mmHg, abdominal puncture does not collect blood, diagnosed as ruptured liver cancer and hemorrhagic shock. In the anti-shock surgery exploration at the same time, found that the right hepatic lobe has a 5cm × 4cm × 3cm small mass, the surface of a 1.5cm size rupture mouth bleeding, abdominal blood in about 3000ml or so. Absorb the pool of blood and perform a wedge resection of the hepatic lobe where the hepatic mass is located (more than 2 cm away from the mass). Pathological examination diagnosed as hepatocellular carcinoma. The patients underwent surgical resection for liver tumor recurrence in December 1983, April 1988 and July 1991 respectively.