Saturday, November 3, 2007

Gastric ulcer bleeding should take immediate measures

Gastric ulcer disease caused by upper gastrointestinal bleeding, a medical emergency, we must take immediate measures to address. In hematemesis or hematochezia patients receivable hospital treatment. Patients should be supine, lower extremity elevation, pay attention to maintenance, and the patient should be given heavy oxygen inhalation, every 10-30 minutes measuring pulse, blood pressure, respiratory 1st, irritability patients, the treatment can be given tranquilizers, so that patients can rest quietly. If it is bleeding, intravenous infusion should be carried out immediately, such as glucose, saline, balanced salt solution, and so on, has emerged hemorrhagic shock patients. Best loser whole blood, blood type and distribution in the investigation of the blood transfusion process may first other liquids, infusion rate began to fast, to be picked up later transferred blood pressure the speed and the whole infusion types of access to records at the same time strictly. Conditional hospitals can do emergency gastroscopy, clear the site and nature of hemorrhage, and using endoscopic hemostasis, such as coagulation, microwave, laser hemostasis and local drug bleeding, a drug commonly used Monteggia fluid, norepinephrine, such as thrombin, the precise effects, it was reported that only blood results up 90%, according to conditions of use. Also useful ice brine repeatedly gastric lavage, each time by gastric tube into 250 ml, and then gently slow aspirated. In taking these measures, drug therapy should be given to hemostasis, such as cimetidine, ranitidine are acid-fast, can reduce gastric acid erosion of the role of ulcer reduce hemorrhage; An Tongxinluo capillary blood can reduce the permeability of the capillary and enhance fracture stump the retraction; Anti-acid blood fibrinolytic Fong , such as a confrontation or thrombin inhibition of fibrinolysis role; these drugs can be applied. A small amount of bleeding, the condition of patients can light oral administration; A large amount of bleeding, patients should be re-condition intravenous administration. There are indications for surgical patients, surgical treatment should be carried out as early as possible.

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