摘要
目的:分析中晚期肝癌肝动脉化疗栓塞后短期死亡原因和确定处理对策。材料与方法:回顾23例中晚期肝癌动脉化疗栓塞后4周内死亡病例的临床资料。结果:死亡23例病例中:肝癌破裂2例,肝脓肿1例,胃穿孔1例,上消化道出血7例,异位栓塞2例,急性心肌损害2例,急性肝功能衰竭4例,其他少见死因4例。结论:肝癌动脉化疗栓塞短期内死亡原因:与肿瘤的大小、位置、分布、血流动力学改变、肝肾功能、治疗用药、插管技术等诸多因素相关。严格选择适应症,制定正确治疗方案,提高介入插管技术,重视综合治疗措施等,是减少并发症、避免短期内死亡、延长病人生存时间的重要因素。
Purpose： Purpose of the analysis of advanced liver cancer TACE after the cause of death and determine the short - term deal with counter measures. Materials and Methods： 23 cases of liver cancer in the late arterial ehemocmbolization 4 weeks after the deaths of the clinical data. Results： The results of 23 cases of death eases ： the breakdown of 2 cases of liver cancer, liver abscess 1 case, 1 case of gastric perforation, 7 eases of upper gastrointestinal bleeding, ectopic embolization in 2 eases, 2 eases of acute myocardial injury, acute liver failure in 4 eases, other 4 cases of a rare eanse of death. Coneluslon： Liver arterial chemoembolization in the short term causes of death： the tumor size, location, distribution, hemodynamie changes in liver and kidney function, treatment, medication, intubation, and other technology - related factors. Select strict indication, the right to develop treatments to improve intervention intubation technology, emphasis on comprehensive treatment measures is to reduce complications and to avoid a short period of time of death, to extend the survival time of patients an important factor.
出处
《现代医用影像学》
2009年第3期149-152,共4页
Modern Medical Imageology
关键词
中晚期
肝癌
动脉化疗
栓塞
死亡
Advanced liver cancer Arterial chemotherapy Embolism Death
