What measure _'s treatments should gastric ulcer be taken immediately to bleed
Digestive tract bleed at the whom the intersection of gastric ulcer and disease cause, the intersection of internal medicine department and acute disease, must take measures, punish at once. The patient spittinging blood or having blood in one's stool, should include institute's treatment. Patient should lie while being flat, the lower extremities are raised, pay attention to keeping warm, the heavy patient should suck the oxygen, examine pulse, blood pressure, breathe once every 10- 30 minute, to the patient who has the fidgets, can offer sedative treatment, enable patient quiet rest. If is massive haemorrhage, should carry on intravenous infusion, such as glucose liquid, physiological saline, balanced salt liquid,etc. immediately, patient who has already presented shock of low blood capacity. You had better lose the whole blood, can lose other liquid first in the course of checking blood group and matching the blood, the speed which begins the infusion should be quick, adjust speed and kind of the infusion again after rebounding in blood pressure, record the coming in and going out amount strictly at the same time. The conditional hospital can do the gastrocopy of emergency call, define position and property that bleeds, can adopt under the endoscope arresting blood, electricity congeal for instance, and microwave, laser arrest blood and some medicine arrest blood, the commonly used medicine has Meng's liquid, noradrenaline, thrombese,etc., curative effect is more precise, it is reported the styptic result can reach 90%, can select for use according to the condition. Also ice the brine usefully and wash the stomach repeatedly, poured into 250 ml by the stomach tube each time, then the slow aspiration gently. While taking these measures, should offer styptic drug therapy, if first the intersection of cyanogen and the intersection of miaow and guanidine, Renee have, resist sour function for man, can through reduce the intersection of gastric acid and the intersection of erosion and function in ulcer and reduce, bleed; Ann holds the permeability that the blood can reduce the capillary in place with a net and promotes the broken retraction that carries of capillary rupturing; Resist blood to be fine to dissolve sweet-smelling acid, thrombese,etc., have, confront with each other or inhibit function of fibrinolysis; All all right application of these medicines. Bleed in a small amount, condition light patient can oral administration gives medicine; The great patient with heavy condition of the bleeding amount should be intravenous to give medicine. To the patient with surgery indication, should carry on the surgery treatment early.
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