Liver cirrhosis erupts _'s general knowledge of therapeutic method that the digestive tract bleeds simultaneously

Liver cirrhosis erupts _'s general knowledge of therapeutic method that the digestive tract bleeds simultaneously
Liver cirrhosis erupts the esophagus, vein of fundus of stomach simultaneously to break, bleed to happen to middle aged men more, most patients have chronic hepatopathy, jaundice, snail fever or chronic alcoholism medical history. Before the onset, most patients did not have obvious omen or discomfort, some patients had a glutted sense of upper abdomen before spittinging blood. Disease this cause, vomit blood volume to be large and scarlet more, well up and vomit but happen, some cases present injection and spitting blood.
Once spitting blood, relatives should send the hospital to take the first aid measure the patient immediately, look patient, go pillow lie while being flat at the same time, prohibit heat eating and other protein food.
The rescue principle that the upper digestive tract bleeds is: Support the treatment, infusion, blood transfusion, in order to prevent and correct shock, use the corresponding styptic medicine. The rescue course the blood transfusion is the most important, and use and include the new blood of the abundant blood coagulation factor. Another important measure rescued is to arrest blood. Method, including medicine arrest blood, mechanical oppression ' Two bags of three are in charge of oppression) Styptic and vascular thromboembolism styptic and surgery arrests blood under the endoscope.
The medicine arrests blood: The liver cirrhosis portal vein causes the esophagus and vein of fundus of stomach to bleed, should try to reduce the pressure of portal vein under high pressure, very oral propranolol or intravenous to instil pituitrin, 8 peptide pitressin and colyone grows. Use styptic pharmaceutical at the same time, such as vitamin k, Ann hold blood, 6 in place with a net and amino second sour resisting blood to be fine to dissolve sweet-smelling acid and the intersection of traditional Chinese medicine and the intersection of Rhizoma Bletillae and powder, purple the intersection of pearl and grass,etc..
Machinery arrests blood: Mainly in charge of oppression to arrest blood for two bags of three. If use the above-mentioned medicine not to still have a styptic result, and the persons who can't carry on the surgery treatment immediately should adopt this law immediately. If it is appropriate to put the location the gasbag, can reach the styptic result. While employing, the stomach bag will generally fill 200- 400 ml more when being inflated; Oesophageal bag inflate, take little relatively ' 80 ml) ,Because the esophagus is variceal to come from veins of fundus of stomach more, so long as the vein of fundus of stomach is oppressed, bleeding can stop. If bleeding still can't stop effectively, should continue strengthening and filling the tolerance to the oesophageal bag. Someone maintains too that runs into physiological saline and adds 8 milligrams of noradrenaline in the stomach tube, in order to shrink the mucomembranous blood vessel of stomach, thus produced function on the persons who continue bleeding after gasbag oppression. In order to avoid being pressed mucous membrane damaging, should oppress for 12 hours and bleed for 1- 2 hours promptly each time. The styptic measure of oppression is generally less than 3 days, there are persons who bleed that should consider taking other measures 3 days later.
The endoscope arrests blood: Harden the styptic law of pharmaceutical under guarding the patient failing to respond to any medical treatment and using the endoscope to internal medicine department. The acute styptic rate that bleeds reaches 95%, carry on thromboembolism and arrest blood as to the blood vessel of the styptic position, if the bleeding position is difficult to judge, can spray thrombese under the endoscope and arrest blood.
Surgery treatment: Employ the above-mentioned method treatment still a large amount of bleeding or persons who bleed repeatedly, should consider the surgery treatment, the method is as follows, a vein of fundus of stomach of ligature and oesophageal song; The crosscut stomach bottom, make stomach - stomach anastomosis again; If the still steady one of patient's whole body situation, can consider making portal vein or spleen renal vein identically and shunting the operation.
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