Thursday, March 7, 2013

Liver cirrhosis upper digestive tract bleed what does it treat have generally? 's treatment

Liver cirrhosis upper digestive tract bleed what does it treat, have generally? 's treatment
(1)Stay in bed, keep quiet: The upper digestive tract takes place to bleed to the liver cirrhosis patient, if there is nervous the excessive one, can give the medicine such as being stable, but forbid medicines to damage the liver, the fairy, morphine, barbital medicine such as hibernating, so as not to bring out liver encephalopathy. (2)Body posture: Advocate, use the intersection of head and low order at present, so as not to influence breathing function, should adopt, lie the location and raise the lower extremities while being flat. (3)Keep the respiratory tract unobstructed: When spittinging blood, the head should lean to one side, in case inlet the blood into the trachea and the death takes place. (4)Oxygen intake: Upper digestive tract massive haemorrhage person, there is existence of the hypoxic disease more, the latter brings out the factor bleeding, should give oxygen intake in time. (5)Fasting: When spittinging blood, 1- 2 day such as fasting, change into liquid food, half liquid food gradually, then excessively reach the general food. But should not eat the coarse and hard food, so as not to bring out and bleed again. (6)Prevent from infecting and happening: When airway infection, spontaneous peritonitis, the intestine are infected, urinary system infection and septicaemia,etc. take place, can make ammonia of blood rise, bring out liver encephalopathy. Can treat and prevent ones that infected to select antibiotic for use rationally. (7)Strengthen and attend to, observe the condition tightly: Mainly include: Spitting blood with black informal situation; Spiritual mind change; Pulse, blood pressure and breathing the change of the situation; Whether limbs are warm, the situations of skin and nail matrix color and luster; Intravenous around especially it is full of the situation that the neck is intravenous; Record the urine amount per hour; Reexamine erythrocyte counting, hemoglobin, leucocyte to press, accumulate with blood urea nitrogen regularly; Carrying on the determination of central venous pressure if necessary, the old patient needs to guard the electricity of heart. (8)Set up the intravenous thorough fare rapidly, fast fluid infusion, infuse the blood plasma substitute.
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