Recently, Shenzhen Qianhai Shekou Free Trade Zone Hospital successfully treated an elderly patient with sudden abdominal bleeding and hemorrhagic shock due to liver tumor rupture. The hospital quickly and effectively stopped bleeding by intervening minimally invasive technology, pulling the old man back from the "gate of hell". At present, the patient's condition is stable and his overall condition continues to improve.
It is understood that the patient is a 91-year-old man. He was found to be hit on the ground by his family at night. He was unconscious and had a pale face. He was sent to the emergency department of the hospital through 120, with a blood pressure measured at 80/45mmHg. He was initially diagnosed as hemorrhagic shock and severe abdominal bleeding. The patient was admitted to the ICU ward for emergency treatment. After a CT scan of the abdominal cavity, the patient found a mass of abdominal cavity. Considering the rupture and bleeding of the liver tumor, the large amount of bleeding, the vital signs cannot be maintained after emergency blood transfusion. Life was hanging on the line. The medical imaging department intervened in consultation and arranged emergency interventional angiography to quickly find the artery of the bleeding "criminal". The bleeding was successfully stopped through interventional embolization, and the patient turned the risk into safety.
Shao Yongjie, an interventional physician in the Department of Medical Imaging, introduced that liver tumor rupture and bleeding is a common tumor acute disease, and the condition develops rapidly. If not treated in time, the patient's life will endanger in a short period of time. Previous treatment methods include conservative internal medicine treatment and surgical treatment, but most patients often do not have surgical conditions because they were in shock at the time. Emergency interventional treatment has become the first choice for rupture and bleeding of liver cancer in recent years due to its advantages such as wide indications, small trauma, short surgery time, quick postoperative recovery, and significant hemostasis effect.
Dr. Shao Yongjie said that if a patient with liver tumor suddenly experiences total abdominal pain and sweating profusely, it may be caused by heavy bleeding caused by rupture of the liver tumor and blood stimulation of the peritoneum. At this time, the patient may not only suffer from severe liver pain and total abdominal pain, but may also experience shock symptoms, such as pale complexion, dizziness, palpitations, weak pulse, decreased blood pressure, and even inability to measure the abdomen, gradually expanding and painful, and unable to press, and in severe cases, they will die soon. At this time, the patient should be immediately lying flat and remain calm. At the same time, hemoglomeration, blood transfusion, fluid, hemostasis and other treatments should be given to prepare for the operation, and quickly sent to a hospital with interventional treatment capabilities for treatment.
[Reporter] Ding Kan
[Correspondent] Wang Fei
[Author] Ding Kan
[Source] Southern Media Group South + Client
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