How do stomach duodenal ulcer bleed to treat? 's treatment

How do stomach, duodenal ulcer bleed to treat? 's treatment
First, most of patients of ulcer and and massive haemorrhage, through generally treating, such as fluid infusion of blood transfusion, cold physiological salt wash stomach, inject Epinephrine under the endoscope, laser solidify and alternative artery inject vasoconstrictor,etc. to treat, bleeding can stop. But about 5- 10% of the patients bleed and still go on. If there are the following situations, should consider the surgery treatment.
1,Acute massive haemorrhage, with the shock phenomenon person, mostly bigger blood vessel bleed, it is difficult to arrest blood by oneself.
2,The situation disappear and take a favorable turn after inputting 600-1000 ml of blood within 6- 8 hours, or the person who worsens condition after taking a favorable turn and stopping blood transfusion temporarily once again.
3,Persons who had similar massive haemorrhage has taken place not long ago.
4,Persons who are massive haemorrhage is taking place in the hospital treatment of internal medicine department, show aggressive and big ulcer, not performing the operation, the treatment is difficult to arrest blood.
5,Or the person who has arteriosclerosis above the age of 50, it is difficult to arrest blood to estimate and bleed by oneself.
6,Massive haemorrhage amalgamates punching or pyloric stenosis.
Need patient that surgery treat, should positive blood transfusion, resist shock,etc., had better try, go on in bleeding 24 hours, the result is better, if the mortality of performing the operation is relatively high when it is very dangerous to delay the condition. The old patient should relatively strive for the surgery of morning therapeutically.
Second, surgery treatment: Generally adopt the stomach including ulcer to cut the skill mostly at home, not only has excised ulcer, has stopped bleeding, and treat ulcer too, it is an ideal surgery method. Excising ulcer has difficulties that should be put free from worries and petty ideasly, but will run through the ligature ulcer bottom bleeding artery or its backbone. Critical at patient's condition, when not allowing to do the stomach to excise mostly, can adopt and run through the styptic law of ligature simply. Someone bleeds to duodenal ulcer, is running through ulcer of ligature and bleeding and dealing with in recent years, implement nervus vagus, cut off and add drainage and then.
1,Operation indication
Persons who have not been improving or worsening of the symptom in 24- 48 hour of treatment through not performing the operation.
It is fast to bleed, the person who takes place shock (through the blood transfusion 600- 800ml of 6- 8 hour, blood pressure can't be maintained, and the erythrocyte is more urgent than to accumulate drop suddenly) .
Repeated persons who frequently bleed many times.
Person who suspected to has canceration.
Above the age of 45, or the person who has arteriosclerosis.
2,Pre-processing of skill
Prohibit the diet, the intestines and stomach reduce pressure, infusion, transfuse blood if necessary.
Using vitamin k, to carboxyl benzyl amine, Ann holds styptic medicines such as the blood,etc. in place with a net.
Observe the condition tightly, examine blood pressure, pulse, remember urine amount, spittinging blood and informal blood volume.
3,Operation way
The stomach including ulcer excises the skill mostly.
It is difficult for ulcer to excise, feasible the intersection of Bancroft and operation, must sew, pitch, bleed some with silk thread.
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