Symptoms and treatment of acute erosive gastritis
The disease damage was typical of multiple erosions and superficial ulcers, often clustered bleeding lesions can be across the stomach or just tired, and part of the most commonly in the fundus.
Clinical
More abrupt onset, in the original course of the sudden onset of upper gastrointestinal bleeding, manifested as hematemesis and black feces black feces were individually rare. Bleeding often intermittent. Heavy bleeding or shock can cause syncope, accompanied by anemia. Bleeding in the abdominal discomfort or pain with tenderness. Endoscopy, in particular the incidence of 24 to 48 hours of emergency endoscopic examination showed gastric experts erosion, bleeding, or superficial ulcers, especially in more common high gastric body.
Treatment:
1, correct shock, additional blood volume, blood transfusion, infusion, to correct dehydration and electrolyte imbalance.
Second, gastric infusion or oral hemostatic.
(A) gastric intubation to remove blood clots in the stomach, gastric lavage with cold saline, or saline added to each frozen 250mL of norepinephrine 4-8mg, can be washed repeatedly to stop the bleeding. Can also be stomach tube in the perfusion monsell.
(B) the oral direct thrombin and norepinephrine, norepinephrine concentration and the gastric tube perfusion the same time oral administration of 60 ~ 100ml 2-4 hours / times.
Third, acid drugs, including acid and alkaline drugs and in the application of H2 blockers (see peptic ulcer bleeding section).
4, may be endoscopic microwave and high frequency electrocoagulation to stop bleeding.
5, treatment of the original disease, active treatment trauma, infection, disable the increased gastric mucosal injury drug.
6, to prevent application of non-steroidal anti-inflammatory drugs plus drugs or prostaglandins with alkaline agents.
7, surgical treatment ineffective medical treatment, a small number of patients with subtotal resection of the stomach to be done, select the vagotomy surgery,
(A) The amount of bleeding and more rapid emergence and shock, after medical treatment ineffective.
(B) the medical treatment within 48 hours after bleeding again bleeding.
(C) accompanied by perforation or atherosclerosis were not easy to stop bleeding.
Comments
Leave a Reply
WordPress ·