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Wysłany: Pią 6:25, 25 Mar 2011 Temat postu: herve leger toronto Diagnosis and treatment of spo |
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Diagnosis and treatment of spontaneous rupture of primary liver cancer
Patency of intravenous access, blood transfusion , hemostasis. Actively carry out surgery preparations. Combination of laboratory tests and CT or B-US test results , select the surgical method. For the general good. Tumor confined to a section of liver , leaf , or half the liver,[link widoczny dla zalogowanych], does not infringe portal or portal vein . The main portal vein and hepatic vein thrombosis without support . At the same time in correcting shock may consider selecting hepatectomy . The group underwent liver resection in 4 cases. Length of stay 12 ~ 75d. Death did not occur during hospitalization . Hemostatic effects of hepatic artery ligation more precise , can not be applied to patients with partial resection of liver cancer , as palliative treatment of emergency measures to stop bleeding . But easy to cause liver failure. It should be noted after liver treatment. 2 conditions should seek treatment. Treatment of 2 cases in this group . No deaths occurred during hospitalization . Hospital stay l2 ~ 47d. Dangerous bleeding , could not do partial or hepatic artery ligation either by intraoperative collagen sponge , omental packing,[link widoczny dla zalogowanych], packing bandages ,[link widoczny dla zalogowanych], suture hemostasis and other palliative measures. Mortality rate in the treatment of this group 2 patients , 1 patient died during hospitalization , time of death after 5h. Measures as a first choice for unresectable liver cancer , transcatheter hepatic artery embolization effective rate of 40 % to 70 % ... . 4 cases in this group . Time for intervention after the hemorrhage 3 ~ 7.5h,[link widoczny dla zalogowanych], length of stay 27 ~ 152d. Involved in the number of 1 to 3 times, 2 patients died . I 2 patients died during hospitalization did not occur , clinical improvement was discharged. . Rupture of primary liver cancer can not own more than stop the bleeding and improve early diagnosis , early correct shock , select the appropriate surgical method to create the conditions for the 2 treatment ,[link widoczny dla zalogowanych], the prognosis can be improved.
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