What are indications for surgical bleeding ulcer?
Ulcer bleeding in general internal medicine first used conservative treatment, approximately 90% of patients after reasonable medical treatment can achieve the purpose of hemostasis. There are still 5% ~ 10% of patients after medical treatment failed to achieve hemostasis should be considered surgery. Bleeding ulcer disease complicated surgical indications, should be based on the patient’s age, general condition, medical history, ulcer and bleeding sites, clinical manifestations, as well as a comprehensive analysis of other specific circumstances, timely judgments. The following indications to adapt to surgery:
(1) The large amount of bleeding, one bleeding volume 1000-1500 ml or more, and those who are still bleeding, or bleeding, a short-term shock; 800-1000 ml of blood transfusion within 12 hours after the blood pressure remained unstable person.
(2) history of repeated bleeding in the conservative treatment of bleeding occurred during the period.
(3) a large number of hematemesis and melena continued, those early shock.
(4) elderly patients with bleeding, and accompanied by arteriosclerosis, pipe shrinkage poor hemostatic effect is unsatisfactory.
(5), pyloric obstruction by the merger.
(6) suspected arterial bleeding ulceration.
(7) Endoscopic examination revealed ulcers with exposed blood vessels were the basement.
(8) suspected cancerous bleeding.
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