Treatment method _'s treatment of gastrorrhagia

Treatment method _'s treatment of gastrorrhagia
1.It is dealt with that regular: Patient should lie while being flat location is agitated skin note stable 10mg at the word; The persons who spitting blood should prohibit to eat, simple melena person can enter the diet of liquid; The serious one, in conformity with oxygen intake; Put the stomach tube, suck out of the stomach and accumulate the blood, find out about bleeding situation and and can pour into medicines; Strengthen and attend to, prevent the vomit sucks the respiratory tract to cause pneumonia or suffocate.
2.Rescue shock: Blood transfusion quantity estimates, take infusion as the core at the time of slight bleeding, wouldn't transfuse blood; Intermediate bleeding needs to supplement the blood 400- 600ml; Severe bleeding needs blood transfusion 900- 1200ml, even more; The infusion amount estimates, measure out in order to enter in principle. Can determine according to central venous pressure, regulating infusion quantity and speed. The liquid selects crystal liquid and dextrose anhydride for use; It is balanced to correct acid-base balance and electrolyte.
3.The application of styptic pharmaceutical: Select Ann for use and hold blood, etamsylate in place with a net or arrest blood sweet-smellingly and impractically, add into fluid infusion and instil according to the circumstances; Since it is 80mg/ L noradrenaline or thrombese that the stomach tube pours into the density; The gastroscope makes the part and arrests blood and can be selected for use and sprayed styptic pharmaceutical, such as 80mg/ L noradrenaline or thrombese; Or inject styptic pharmaceutical, such as 1- 2mg Epinephrine adds 10% of the brine 10ml, make and divide some to inject; Or the high-frequency electricity congeals and arrests blood; Or the microwave arrests blood; Or the laser arrests blood.
4.The treatment of cause of disease: Irritable pathological change or the intersection of ulcer and disease bleed, or, can select the intersection of H2- and receptor for use, block the intersection of pharmaceutical and west rice, it takes the place of man or Renee to be a bit quieter for man; Or oral Lip river is comparable to gram 20mg, 2 times a day; Esophagus, fundus of stomach are variceal to break to bleed, should put into three of tube oppression and arrest blood, general note angry or ink, to the stomach bag 200ml, the pressure is 5. 3- 6. 6kPa, draws with 1- 2kg coaster, bleeding stop 24 hours later, can bleed and observe 24 hours more; Add to the liquid 100ml of glucose the pituitrin 20U at the same time, the vein is instilled, repeats once every 3- 4 hour, the direct-view of gastroscope plays and injects and hardens pharmaceuticals, select 1% second oxygen for use and harden sour sodium alcohol or 5% of the cod liver oil the same, pour into a vein of song inside and by the vein, cause thromboembolism and arrest blood.
5.Surgery treatment: Mainly suitable for: Tumour bleeds; Massive haemorrhage failed to respond to any medical treatment in internal medicine department.
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