Which stomach duodenal ulcer bleed to have to behave and how to diagnose? 's symptom

Which stomach, duodenal ulcer bleed to have to behave and how to diagnose? 's symptom
1,Symptom
Small quantity bleeds repeatedly, is shown as the steady blood of anaemia, stool and tested the masculine gender.
A large amount of bleeding, spitting blood and relieve oneself black.
Short-term internal haemorrhage amount> 400ml, there is a compensation phenomenon of the circulatory system; Bleeding amount> 800ml, can present shock.
2,Physical sign
The tenderness of upper abdomen, the gurgling sound is active.
3,Auxiliary examination
Fibrous gastrocopy, the positive rate can be more than 90%.
The arteria coeliaca radiography of the alternative, visible radiography pharmaceutical is excessive from the bleeding of ulcer to enter the digestive tract sometimes.
Most patients have medical history of ulcer, about 10- 15% of the ulcer massive haemorrhage patients before bleeding, there are not ulcer and and symptom before bleeding. Once the massive haemorrhage patient will present the following sign.
1,Pitch kind, with spittinging blood
Most ulcer massive haemorrhage cases had illness coming on suddenly, did not bleed with suffering from abdominal pain more, patient feel sick dizzy first mostly and upper abdomen uncomfortable, spitting blood immediately or pitch kind relieve oneself, or both coincide. Spitting blood it is the intersection of duodenum and above digestive tract that bleed mostly, and pitch kind can present in the intersection of digestive tract and any position, there must be pitch kind and relieve oneself to but there are persons who spitting blood. In terms of ulcer, if suddenly greatly spitting blood, is not mixed with black clot, it is gastric ulcer that bleed, and only have pitch kind to bleed for duodenal ulcer more.
2,Shock
The losing blood amount presents shock and compensates one, look pale, thirsty, the pulse is fast and strong in 400 ml, normotensive or slightly high. When losing blood in 800 ml, can present the obvious shock phenomenon, it is thin fast to produce cold sweat, pulse, breathe simple urging, blood pressure to drop.
3,Anaemia
A large number of bleeding, count hemoglobin, erythrocyte, press with the erythrocyte, accumulate, drop. Because the blood is concentrated in early days, may not drop obviously, need to determine repeatedly in a short time, determine repeatedly that can reveal the severity bleeding, can reveal too whether bleeding has been still continuing or already stopping, and can learn whether the result of treatment is good.
4,Other symptoms
The ulcer massive haemorrhage patient is during the course of suffering from shock, unsuitable to do the miscellaneous inspection, but but the soft one checks rapidly the body is still necessary. There is peritoneum that stimulates disease, may be with perforated ulcer at the same time.
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