How do hepatocarcinoma and tubercle break to treat _'s treatment

How do hepatocarcinoma and tubercle break to treat _'s treatment
It is hepatocarcinoma and more common serious complication that the spontaneous break-up of primary hepatocarcinoma bleeds, the incidence reaches 9%- 22.6%, onset
Relatively urgent, the condition is critical, the prognosis is relatively bad, diagnose that treats and helps the prognosis which improves the patient certainly in time in early days. The mechanism that the spontaneous break-up of hepatocarcinoma bleeds is still not totally clear. It is infringed directly because of tumour, make intravenously to flow out of the passway to obstruct that most scholars think, cause the intravenous high pressure, thus cause and bleed and break. Generally speaking, may relate to following factors: The malignant intensity of hepatocarcinoma is high, grow fast, therefore lead to the fact the relative blood supply of tumour is insufficient, so that ischemic, necrosis and liquefaction appear in the centre. If the lump volume increases too fast at this moment, but the tumour capsule can't be spread, can lead to the fact the surface of tumour is routed and broken, cause and bleed; And hepatocarcinoma is ischemic, necrosis is continued, taken place and is infected with, can also result in breaking and bleeding; Tumour infringes the blood vessel in the liver directly, cause the blood vessel to break and bleed; Portal vein, after the thromboembolism, table shallow tumour perimeter appears obstacle nature necrosis of nutrition partly the intersection of cancer and bolt. Routed and broken, can also result in bleeding. Tumour lie liver separate the intersection of Taxi and table at the shallow position, apt to strike external force, tumour make membrane poor and cancer organization extremely fragile to form reason bled to break too.
More with suffer from abdominal pain and go to a doctor on being acute patient. Pain for the upper abdomen more at the beginning, the proruption person accounts for about 95%, as the condition is developed, can develop into the whole belly gradually, with giddy more at the same time. The cold sweat appears. Disgusting and vomiting etc. and behaving. When the spontaneous break-up of hepatocarcinoma bleeds, have, suffer from abdominal pain, limited to upper abdomen person only also, and relatively slight, this may lie in the intersection of liver and shallow the intersection of table and relatively little cancer and tubercle of position break, bleed less, bleed, limited to liver make under the membrane, claim liver make under membrane bleeding only. It is cool that most patients can have pale complexion, four limbs, cold sweat, pulse counting accurately, blood pressure happen and drop. The intersection of belly and tenderness depend on cancerous swelling it breaks intensity to be but different, break mouth to be little person who bleed getting little, the belly tenderness can be confined to the focus or tenderness not to be obvious; Break mouth to be large, person who bleed, more person, to have the whole the intersection of belly and tenderness, some patient can have, jump ache and nervous abdominal muscle instead, there may be small bile ducts to break in its reason, some bile flows into due to abdominal cavity's amazing peritoneum.
When the bleeding amount is bigger, it is obvious the belly expands grandly, the belly percussion presents flatness, the voiced sound of the mobility is positive, the gurgling sound lightens or disappears, it is checked that the blood is alike there can be hemoglobin reducing, total number of leucocytes and neutral cells to rise. The diagnosing belly has important meanings to dress in the definite diagnosis that hepatocarcinoma breaks, bleeds, can often wear to the blood not solidifying. B There is extremely important function to exceed the case different to make a definite diagnosis of to those for the moment, can diagnose clearly.
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