破裂性出血乃由心脏或血管壁破裂所致。破裂可发生于心脏(如心壁瘤的破裂),也可发生于动脉,其成因既可为动脉壁本身的病变(如主动脉瘤),也可因动脉旁病变侵蚀动脉壁(如肺结核空洞对肺血管壁的破坏,肺癌、胃癌、子宫颈癌的癌组织侵蚀局部血管壁,胃和十二指肠慢性溃疡的溃疡底的血管被病变侵蚀)。静脉破裂性出血的原因除创伤外,较常见的例子是肝硬变时食管静脉曲张的破裂。毛细血管的破裂性出血发生于局部软组织的损伤。
脑瘤的破裂相对罕见,但因其会引发脑出血,所以是致命性的。
The rupture of a brain aneurysm is a relatively rare event but, as it causes bleeding in the brain, that event is a potentially devastating one.
病程越长,发生粘连、破裂、出血、坏死和感染的可能性越大。
The longer the course of disease, the more possibleadhesion, rupture, hemorrhage, necrosis and infection may happen.
方法:回顾性分析48例原发性肝癌破裂出血的临床资料。
Methods: The clinical data of 48 patients with SRHC were analyzed retrospectively.
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