The elderly prevent _'s prevention and health care of bleeding of digestive tract sincerely

The elderly prevent _'s prevention and health care of bleeding of digestive tract sincerely
Happen in the upper digestive tract (including the esophagus, the stomach, the duodenum, the jejunum upside) And the bleeding from biliary tract or pancreatic duct, it is the elderly's common acute disease, bleed, until hey blood or melena is a main symptom, with a series of clinical manifestation often at the time of a large amount of bleeding upper digestive tract. The reason causing the elderly's upper digestive tract to bleed is as follows, 1,Peptic ulcer: Account for the first place (account for about 50%) . It bleeds to be the intersection of ulcer and the intersection of disease and behavior of activity, until the little blood vessel is congested around ulcer, break due to row. Will be overtired, nervous, the diet is improper and taking and decreasing and doing the mucomembranous medicine of stomach (such as aspirin) ,etc. if you can't cause by peptic ulcer, move about and cause to bleed,gastric ulcer, more than duodenal ulcer in patient of bleeding of digestive tract in old age, most bleeding person, there can not be symptom at ordinary times, but regard bleeding as and first publish symptom. 2,Oesophageal pathological change: If liver cirrhosis or patient, liver cirrhosis of snail fever, can take place esophagus to be variceal to break, bleed behind the hepatitis, the backflow and corroding function of the gastric acid, the pressure increases in damage and abdominal cavity of the coarse hard food, can become inducement that bleed, have 30% about the intersection of esophagus and variceal patient appear digestive tract it bleeds to be the intersection of song and intravenous break-up of one nearly, but cause because of ulcer that is amalgamated at the same time or mucomembranous pathological change of the stomach, in addition, the elderly's oesophageal ulcer, cancer of the esophagus results in bleeding. 3,Bleeding gastritis; The elderly are used to taking aspirin, Indometacin, it is too loose to protect, cloth Lip river is fragrant, aminophylline, chlorine potassium, alcohol and employing hormone etc. for a long time, can damage the mucous membrane of stomach and cause and bleed. 4,Malignant pathological change of the stomach: For instance gastric carcinoma, stomach sarcoma,etc., with the years, the elderly's gastric carcinoma causes the incidence bleeding to increase, causing rotten or ulcer to corrode the blood vessel because of organizing ischemic necrosis in cancer mainly causes and bleeds. 5,Other: Serious illness such as for instance serious lung worry, apoplexy; Poisoned, the irritable ulcer that traumatism,etc. causes bleeds etc.. Bled and often happened suddenly, the patient was often sick, then spittinged blood, then discharged and relieved oneself black, the content thing vomiting out often presents coffee color, but can also there is progress dark red or scarlets, this mainly depends on the amount of bleeding quantity and length of stay in the stomach, black stool take the form of pitch often, call pitch also, loud bleeding amount, when the blood is discharged quickly, can also be dark red. If the elderly present vomit coffee-like liquid or arrange pitch at the kinds of stool, take, go on, treat immediately. It is generally acknowledged black appearance of stool, prove person who bleed in the intersection of 50-70 and more than every day; When storing up blood volume can be caused and spittinged blood in the stomach in 250-300 ml of progress, such as over 400 ml of bleeding amount, can present giddy, weak, the heartbeat, breathe hard, look pale, sweat, the detailed speed of pulse, sign of dropping even suffering from shock under high pressure etc., if does not save in time, can jeopardize the life. It belongs to acute disease that the upper digestive tract bleeds, answer and treat while checking: 1,Look for the bleeding reason, treat to the cause of disease, to a large amount of acute bleeding person, the physiological change characteristic, deal with rapidly after should bleed according to the elderly ing, the patient should absolutely stay in bed, keep quiet; Adopt, lie location while being flat, two knee bend or raise lower extremities, should avoid, influence the breathing function and inlet the blood into the trachea bow in the location, and help to maintain the blood volume of effective circulation, the persons who only have melena needn't be prohibited to eat, spitting blood stop, can enter warm cool thin rice gruel, soya-bean milk or milk, and variceal to break the bleeding patient to esophagus, should prohibit to eat, generally speaking, eating the liquid can reduce the hungry shrink of stomach, can neutralize gastric acid and resume physical power is favorable to recover. After bleeding, need to deal with in the inspection promptly while, including infusing immediately, transfuse blood if necessary or wash stomach and essential hemorrhage (BAIYAO (white drug) (sic) of Yunnan for the cold salt in the stomach, Radix Notoginseng powder, thrombese,etc.; The vein instil first cyanogen miaow guanidine or Renee for man inside, law wait for for man don't) ,Can also gush out thing of yeast for brewing rice wine,etc. through the endoscope part. Such new technologies as the high-frequency electricity that has adopted in the past few years is congealed and the laser is styptic are efficient are up to 94%-95%, this law is suitable for the unsuitable to do the urgent surgery ones, it is variceal while breaking, bleeding to present the oesophageal fundus of stomach to liver cirrhosis, can also inject and harden pharmaceuticals under the endoscope and arrest blood. 2,Should treat and have illness coming on originally actively under the guidance of doctor, such as peptic ulcer and liver cirrhosis,etc.. 3,It should be regular to live. The diet wants festival definitely occasionally, must guard against eating and drinking immoderately, give up alcohol and quit smoking and don't drink strong tea and coffee. 4,Pay attention to use of medicine, should little with needn't have stimulating medicine on stomach, if must use, should add and use keeping the mucomembranous medicine of stomach. 5,Want the fixed physical examination, in the hope of finding early pathological change, treat in time, when presenting anaemia symptoms such as giddy,etc., should check in the hospital in the morning to the limit.
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