How a perforated gastric ulcer treatment?

For patients diagnosed with gastric perforation, we should first fasting. Severe illness, diagnosed as acute perforation, we should pay attention to blood pressure, pulse, respiration and changes in water electrolyte changes, and adopt the following measures: (1) Analgesic: as soon as possible after diagnosis clear pain, usually with meperidine 80 mg or morphine 10 mg intramuscular injection. (2) oxygen. (3) intravenous infusion: first generally lose balance fluid or glucose drip, as a shock patients can be expanded by adding vascular medicine at the same time complement blood volume. (4) gastrointestinal decompression. (5) Application of antibiotics: general chosen first broad-spectrum antibiotics, according After the bacterial culture results adjusted to match sensitive drugs. For ulcer perforation treatment, surgery or non-surgical treatment of two: (1) the non-surgical treatment indications (1) patient appointments early gastric contents into the abdominal cavity small, performance chemical peritonitis very light, the gastrointestinal decompression easily controlled. (2) small or ulcer perforation has been plugged. (3) fasting perforation, peritonitis in hospital when signs light. (4) patients, and after the initial hospitalization, reduce symptoms of peritonitis. (B) Surgical treatment of indications (1) acute diffuse peritonitis obvious signs, like elevated body temperature and blood. (2) anti-shock symptoms, the initial emergency treatment time required for surgical treatment. (3) After the inspection and asked about past history, proved to be pyloric obstruction. (4) In the past were clearly gastric ulcer. (5) the merger bleeding, perforation. (6) the non-surgical treatment of the illness were not improved.