Gastrointestinal bleeding ulcer disease how do?

Bleeding ulcer disease treatment principle is actively conservative medical treatment, medicine when conservative treatment fails to consider surgery.
(1) patients with absolute bed rest, as far as possible to lift its concerns and nervousness, nothing to do with rescuing the inspection should be delayed for. Attention to the warm and, if necessary, could be taken head-down to increase the brain's blood supply. There anxiety or irritability, may intramuscular injection of sedatives.
(2) close observation condition, pay attention to blood pressure, pulse, respiration, body temperature, urine volume and the general situation. More patients with hemorrhage, blood pressure measurements every 0.5-1 hours once every 4-6 hours investigations RBC, hemoglobin.
(3) low blood pressure or shock should be oxygen. (4) general not bleeding during fasting, because food can inhibit gastric contraction of the blood coagulation hunger, and in the gastric acid can be followed, the supply of nutrition. Many times should be given a small amount of liquid diet, such as milk, soybean milk,broth, and so on. If nausea, vomiting may suspend diet, cease to be vomiting can resume eating.
(5) timely supplies blood volume, control shock. The indications for blood transfusion: ① systolic blood pressure less than 12 kPa (90 mm Hg): ② pulse of 120 beats / min or more. ③ hemoglobin seven grams below; ④ shock signs. The amount of bleeding in 300 ml following their own when the body can compensate, and generally do not have blood transfusion; The amount of bleeding in the 300-600 ml, can be corrected through the transfusion of blood pressure, blood transfusion can not; The amount of bleeding in 600 ml above as soon as possible supplementary blood volume. Consistent with the above indications for transfusion, blood transfusion. Blood transfusion may, under specific circumstances, each transfusion 300 a 400 ml, such as hemoglobin no recovery may again transfusion. Blood transfusions can correct shock, still bleeding raise hemoglobin role.
(6) the timely application of hemostatic therapy. Hemostasis measures, other than a blood transfusion, there are also applications hemostatic. Commonly used various hemostatic such as vitamin Kl, ethamsylate, aminomethylbenzoic acid, etc., can also be used a cyanide H suits, ranitidine, famotidine and omeprazole injection acid inhibitors such as bleeding, oral thrombin injection or prothrombin complex, such as bleeding, can be oral medicine such as Yunnan Baiyao hemostasis can be used measures such as gastric lavage ice brine.
(7) in the treatment of bleeding ulcer disease process, we must pay attention to inspection and water treatment acidosis and electrolyte disturbance. Bleeding, hypokalemia, hyponatremia lost easily cause electrolyte imbalance, but also easily lead to acidosis. So we should pay attention to timely supplement and correct.
(8) to prevent acute renal failure, the protection of heart, brain, kidney important organ functions. After bleeding blood pressure dropped, and even shock, if not promptly corrected, could affect heart, brain, kidney function, such as prolonged shock, there will be no urine, and even renal failure.
(9) positive for canker, the main prevention.
(10) If the conservative medical treatment beyond the control bleeding, consideration should be given to surgical treatment.