Wednesday, November 7, 2007

How diagnosis of gastrointestinal bleeding ulcer disease

Canker hemorrhage generally refers duodenal ulcer bleeding and hemorrhage. Shouted upper gastrointestinal bleeding, acute digestive system, especially bleeding, patients often can endanger lives. So must quickly clear diagnosis and early treatment.
According to the general in history, vomit and stool examination, the diagnosis is not difficult. But it should be noted that 10% of the patients can no ulcer history. Gastric juice analysis and X-ray examination in the recently hemorrhage general taboo, at least in the blood only after 1-2 weeks purposes. For reasons unknown hematemesis patients, whether or cirrhosis ulcer bleeding esophageal variceal bleeding, and should be differential. Esophageal variceal bleeding, liver bleeding often before history, the history of rhythm abdominal pain, many hepatosplenomegaly, abdominal varicose veins, ascites, cirrhosis jaundice, and other signs; For more sudden massive hematemesis, blood red, swelling of the spleen after bleeding has significantly narrowed; Elevated blood ammonia, such abnormal liver function. Furthermore, it should be with gastric cancer, gastric mucosa prolapse, and other identification.
Emergency fiber endoscopy, or experts in hemorrhagic 24-48 hours gastroscopy, it is more timely, convenient, safe and high accuracy of the diagnosis means. Therefore, when that upper gastrointestinal bleeding, in a positive rehydration, bleeding, blood transfusion, anti-shock treatment at the same time, patients without contraindications emergency fiber endoscopy, we will be able to discover the original location and bleeding onset, but also through the endoscope for spraying, electrocoagulation, laser and a series of only blood treatment.

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