Sunday, November 4, 2012

Gastric ulcer punches and rescues _'s treatment urgently and greatly

Gastric ulcer punches and rescues _'s treatment urgently and greatly
Ulcer is a kind of common chronic whole body disease, are divided into gastric ulcer and duodenal ulcer, named peptic ulcer again. The reason why it call that peptic ulcer, think gastric ulcer and duodenal ulcer because gastric acid and peptic to mucomembranous to digest, form by oneself previously, in fact the gastric acid and peptic is only one of the main reasons why ulcer forms, other reasons can form ulcer. Have a lot of similarity because of the causes of disease and clinical symptoms of gastric ulcer and duodenal ulcer, it is difficult for the doctor to distinguish whether it is gastric ulcer or duodenal ulcer or not sometimes, so often diagnose as peptic ulcer, or the stomach, duodenal ulcer. If can define ulcer on the stomach or duodenum, then can diagnose as gastric ulcer or duodenal ulcer directly. For diagnosing as the patient of gastric perforation, should prohibit to eat first. The condition is serious, diagnose as the acute persons who punch, blood pressure, pulse, change and water electrolytic change breathing that should notice, and take the following measures:
( 1) Ease pain: Stop the pain as soon as possible after diagnosing clearly, usually use intramuscular injection of 10 milligrams of 80 milligrams of Pethidine or morphine.
( 2) Oxygen intake.
( 3) Intravenous infusion: Can generally fail and equilibrate liquid or glucose saline first, for instance, the patient has presented shock, can add the blood vessel and expand medicines, fill the blood capacity at the same time.
( 4) The intestines and stomach reduce pressure.
( 5) Employ antibiotic: It can adjust according to the result that the bacterium trains later to generally select antibiotic of wide table for use first, select the sensitive medicine for use.
Have surgery or perform the operation two kinds of treatments as to the intersection of perforated ulcer and treatment:
(1) Therapeutic indication ( 1) of performing the operation that not Time is early that the patient goes to a doctor, the stomach content thing pours into the few one of abdominal cavity, it is very light to display chemical peritonitis, it is easy to be controlled to reduce pressure by the intestines and stomach.
( 2) Perforated ulcer is little or has already been stopped up.
( 3) Punch on an empty stomach, peritonitis has physical sign lightly when admitted to hospital.
( 4) The patient has good situation, after admitted to hospital and deal with tentatively, peritoneum inflammation is lightened.
(2) Therapeutic indication of surgery
( 1) The acute filling the air physical sign of peritonitis is obvious, the body temperature and blood are alike to rise.
( 2) Persons who there is shock symptom instead, must strive for the surgery treatment of the opportunity after dealing with urgently tentatively.
( 3) Through checking and inquiring the medical history of the past, prove the person who has pyloric stenosis.
( 4) Persons who defined gastric ulcer in the past.
( 5) Persons who punch and amalgamate massive haemorrhage.
( 6) Through perform the operation treatment, condition disappear persons who take a favorable turn.
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