Gastric ulcer perforation of the emergency loya rescue
Ulcer disease is a common chronic systemic diseases, were divided into gastric ulcer and duodenal ulcers, also known as peptic ulcer. It is called a peptic ulcer, because the past that the gastric ulcer and duodenal ulcer is due to gastric acid and pepsin digestion of the mucous membrane itself is formed, in fact, gastric acid and pepsin is only one of the main ulcer formation There are other causes of ulcer disease can be formed. Because the cause of gastric ulcer and duodenal ulcers, and there are many similarities between clinical symptoms, the doctor is sometimes difficult to distinguish between a gastric ulcer or duodenal ulcer, it is frequently diagnosed as peptic ulcer or gastric ulcer, duodenal ulcer . If you can clearly ulcers in the stomach or duodenum, it can be directly diagnosed as gastric ulcer or duodenal ulcer.
For patients diagnosed with gastric perforation, we must first fasting. Severe illness, diagnosed as acute perforation, and they should monitor their blood pressure, pulse, respiration changes and water-electrolyte changes, and to take the following measures:
(1) pain: pain as soon as possible after diagnosis of a clear, usually meperidine 80 mg or 10 mg intramuscular injection of morphine.
(2) oxygen.
(3) intravenous infusion: will normally lose a balanced saline solution or glucose, such as the patient developed a shock, can be added to vasodilator and complement blood volume.
(4) decompression.
(5) use of antibiotics: general first choice of broad-spectrum antibiotics, which could later be adjusted according to the results of bacterial culture, use sensitive drugs.
For the surgical treatment of ulcer perforation or non-surgical treatment of two kinds:
(A) Non-surgical treatment indication
(1) the patient treatment time for early gastric contents into the abdominal cavity few persons, the performance of chemical peritonitis is very light, easily be controlled by the decompression.
(2), ulcer perforation small or have been blocked.
(3) fasting perforation and peritonitis on admission were signs of light.
(4) The patient’s condition is good, after the initial hospitalization after treatment to alleviate symptoms of peritonitis.
(B) The indication for surgical treatment
(1) acute diffuse peritonitis signs of obvious, like increased body temperature and blood.
(2) Anti-a shock symptoms, after the initial emergency treatment to gain time for surgery.
(3) After the inspection and asked about past history to prove that those who have pyloric obstruction.
(4) In the past those who clear ulcer.
(5) perforated bleeding by the merger.
(6) by non-surgical treatment, the condition did not improve those.
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