Gastrorrhagia the emergency treatment

Acid medicinal imports omeprazole, hemostatic with Yunnan Baiyao capsules, sterilization and the protection of gastric available bismuth-such as Rachel in the music, but also with new music Wei new capsule.
Gastrorrhagia after eating the problem must have the following general principles: to start eating liquid, Mi Tang, Oufen better, to moderate drinking milk. Do not drink too much acid large amounts of sugar food, these are the acid production increased. To Shaoliangduocan, eating hot, overheating of food may cause gastric vascular expansion is not conducive to stop bleeding. Nongcha, strong coffee should be avoided. Such as thin and tasteless food, add a little salt sound. After the bleeding stopped, can gradually increase the variety and quantity of food.
A hemorrhagic gastritis confirmed the importance of timely hospital treatment to prevent patients with massive bleeding, can be life threatening. Principle is to remove all kinds of treatment-induced factors, to reduce stomach acidity to prevent anti-hydrogen ion diffusion and increase gastric damage, active bleeding, blood transfusion rehydration. Specific measures are as follows:
(1) added blood volume: modest given intravenous blood or fresh frozen plasma, and plasma and liquid balance of salt, a shock should actively improve microcirculation.
(2) ice brine gastric lavage: can stomach vasoconstriction, and to reduce gastric acid secretion, and promote bleeding. Gastric tube is to be detained stomach, pumped to first gastric juice, salt water into ice 200 to 300 ml, and then extract, repeatedly washed three to four times, the final will norepinephrine 4 mg of salt water by adding 250 ml ice, Into stomach, to further shrink blood vessels. Four hours after repeated once.
(3) H2 receptor antagonists Application: H2 receptor antagonists such as cimetidine, ranitidine, famotidine have a stronger role in inhibiting gastric acid secretion, to reduce the concentration of hydrogen ions. Under normal circumstances may be cimetidine 0.2 grams, six hours one or ranitidine 150 mg, 12-hour one, oral; critical condition, 0.4 grams or cimetidine available Raney 300 mg infusion for Ding.
(4) of acid-fast: 0.75 grams per hour oral sucralfate or aluminum hydroxide and magnesium hydroxide mixture, and in the acid, to protect the role of the gastric mucosa.
(5) The fiber endoscopy or laser coagulation of bleeding, reliable results. Due to limitations, it is difficult to popularize.
(6) selective angiography, drip Pituitrin, bleeding blood vessels to contract, to stop bleeding purposes. Clinical application of the current less.
(7) surgical treatment: the vast majority of patients with medical treatment can stop bleeding, but there are still about 10 percent of patients need surgery, otherwise difficult to control bleeding. Surgical use of vagotomy increase gastric resection of the whole.