canker bleeding
Introduction
Introduction to ulcer bleeding Ulcer bleeding refers to the large amount of hematemesis or tar-like stools, and the hemoglobin value is significantly reduced, so that the pre-shock or soon into shock state. Therefore, it does not include those cases where a small amount of bleeding or occult blood is found when the stool is examined. basic knowledge The proportion of illness: 0.003% Susceptible people: no specific population Mode of infection: non-infectious Complications: shock pyloric obstruction
Cause
Cause of ulcer bleeding
Ulcer bleeding is the result of ulcer erosive basal vascular rupture. The side wall rupture of the blood vessel is not easy to stop bleeding by bleeding at the end of the fracture. Sometimes, due to the decrease of blood volume after major bleeding, blood pressure is reduced, blood clots are formed at the rupture of blood vessels, and bleeding can stop spontaneously. In 30% of cases, there may be a second major hemorrhage. Most patients have a history of ulcers before hemorrhage. About 10 to 15% of patients with ulcerative massive hemorrhage have no ulcer symptoms before hemorrhage.
Prevention
Ulcer disease major bleeding prevention
Prevention is mainly to actively treat ulcer disease.
First of all, we must maintain a good psychological state, establish good living habits, quit bad hobbies, and then do a good diet adjustment, regular quantitative meals, foods rich in nutrients, easy to digest food, should not eat irritating foods and acidic foods, avoid using A drug that is harmful to the stomach.
In addition, we must adhere to regular treatment, adequate, regular, long-term treatment, in order to effectively control recurrence.
At the same time, it should actively treat the stomach and duodenal inflammation. In addition, it is necessary to carry out drug prevention, and regularly take vitamin A, C, E and other drugs to promote the repair of epithelial cells and connective tissue, and increase the body's disease resistance.
Complication
Ulcer bleeding complications Complications, pyloric obstruction
Treatment is not timely, acute hemorrhage, accompanied by shock, severe death, combined with perforation or pyloric obstruction.
Symptom
Ulcer disease, major bleeding symptoms, common symptoms, cold sweat, abdominal pain, abdominal discomfort, nausea, pale, phlegm, blood pressure, drop, central venous pressure, low shock, vertigo
1. Asphalt-like stool and hematemesis: Most of the onset is sudden, and the bleeding is not accompanied by abdominal pain. Most of the patients feel nausea, dizziness and upper abdominal discomfort, followed by hematemesis or tar-like stools, or both.
2. Shock: When the blood loss is 400 ml, there is a shock compensation period, pale, thirsty, rapid pulse, normal or slightly higher blood pressure. When the blood loss is 800 ml, there may be obvious shock and cold sweat. The pulse is fine, the breathing is shallow, and the blood pressure is lowered.
3. Anemia: massive bleeding, hemoglobin, red blood cell count and hematocrit decreased.
Examine
Examination of ulcer bleeding
1. Check the meal.
2. Endoscope.
3. Selective arteriography.
4. Blood routine.
Diagnosis
Diagnosis and diagnosis of ulcer bleeding
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
Ulcer bleeding should be associated with various upper gastrointestinal bleeding diseases such as portal hypertension complicated with major bleeding, acute biliary bleeding, and gastric cancer hemorrhage.
