The treatment of acute upper gastrointestinal bleeding revealed

Digestive tract diseases are very common in life. Many people who do not pay attention to hygiene or irregular diets in their diet may suffer from digestive tract diseases. Among them, acute upper gastrointestinal bleeding is the most harmful to human health. If treatment is delayed, it will even cause a great threat to the patient’s life. The medical interpretation of acute upper gastrointestinal bleeding is pathological changes in the human gastrointestinal and bile ducts. If targeted treatment is not performed in a short period of time, the risk of circulatory disturbances around the digestive tract will increase linearly. Therefore, it is extremely necessary to understand the relevant medical treatment knowledge of acute upper gastrointestinal bleeding. This article will conduct a popular science analysis on the treatment of acute upper gastrointestinal bleeding, in order to allow more people to objectively understand the symptoms and characteristics of acute upper gastrointestinal bleeding.

Symptoms and characteristics of acute upper gastrointestinal bleeding
The clinical symptoms of patients with acute upper gastrointestinal bleeding are more typical. Most people will have symptoms such as melena and hematemesis. If the amount of bleeding in a short period of time is large, the blood in the patient will often flow in the intestines, and the stool will appear dark red or have obvious blood color. If the patient has obvious hematemesis, it can basically be determined that the location of the disease is above the pylorus. At the same time, the amount of bleeding is large, but the vomiting without gastric acid mixing is often bright red or even accompanied by obvious blood clots. However, the blood clots of most patients with hematemesis are basically manifested in the form of tan residue.

Treatment of acute upper gastrointestinal bleeding
1. The treatment method of acute upper gastrointestinal bleeding is divided according to the process. When a patient is found to have symptoms of acute upper gastrointestinal bleeding, emergency treatment should be implemented on the patient first to prevent the patient from suffocation, anti-shock work, and targeted hemostatic treatment . In this process, the emergency treatment method is to fast for the first time when the patient is sick, and guide the patient to lie supine in a clean area to ensure that the patient’s respiratory tract is always in a clear state. For patients with obvious and frequent vomiting, they must be treated as soon as possible. Tilt your head to one side to prevent suffocation caused by inhalation of vomit.

2. After the patient has symptoms of acute upper gastrointestinal bleeding, medical staff should quickly establish an intravenous infusion channel for the patient to supplement the patient’s blood volume to prevent hemorrhagic shock. Normal saline, Ringer’s solution, dextrorotation can also be used Sugar or other plasma substitutes, if possible, you can also try to match blood to supplement; if the patient’s pulse exceeds 110 beats/min, red blood cells are less than 3×1012/L, hemoglobin is less than 70g/L, and systolic blood pressure is less than 90mmHg (12kPa) ), blood transfusion should be as soon as possible, the specific blood transfusion volume should not exceed 75% of the blood loss.

3. Medical staff should treat patients with hemostasis according to the cause of the disease, so that patients can receive effective treatment. During this period, medical staff can use drugs to inhibit gastric acid secretion to increase the pH of the patient’s stomach, and use hemostatic drugs or drugs to reduce visceral blood flow according to the actual cause and specific conditions. Under normal circumstances, they can also choose to hemostasis under gastroscope or three-cavity two-sac tube for hemostasis , Surgery is not recommended to stop bleeding, unless the patient has surgical indications, surgery is the last means of hemostasis. Hemostatic drugs such as batroxobin, sulfacetamide, aminomethylbenzoic acid, ranitidine, omeprazole antacid, etc. have a good therapeutic effect on acute upper gastrointestinal bleeding. However, if the patient suffers from upper gastrointestinal bleeding caused by esophageal and gastric varices, the amount of bleeding at this time is often large, and the effect of drugs to stop bleeding is relatively limited. A three-chamber two-balloon tube can be used to stop bleeding. The specific method is to place the tube reasonably. After sufficient inflation, maintain the pressure of the esophageal sac at 30-40mmHg. After traction and fixation are stable, regularly deflate and suck the gastric contents and secretions above the esophageal sac. After the patient has stopped bleeding, continue to observe for 24 hours. Intubation 3 Within 5 days, the patient can be effectively cured.

Precautions and prognosis in the treatment of acute upper gastrointestinal bleeding
1. Under normal circumstances, only patients with acute upper gastrointestinal bleeding caused by peptic ulcer bleeding can be treated with surgery if they still have recurring or multiple bleeding 24 hours after the relevant medical hemostasis treatment. In addition, if it is determined that it is an acute upper gastrointestinal bleeding caused by a ruptured esophageal varices in the fundus of the stomach, patients who cannot effectively stop the bleeding after using all conventional methods can undergo surgical treatment to stop the bleeding, such as devascularization surgery, hemostasis surgery, etc. .

2. The prognosis of patients with acute upper gastrointestinal hemorrhage also has certain differences. For young and middle-aged patients, after effective treatment, the prognosis is often better. However, elderly patients, especially those with basic cardiovascular diseases, often have poor prognosis, and the risk of repeated bleeding during the observation period is also higher. According to the current reality, the vital signs are unstable at the time of admission, the systolic blood pressure is below 80mmHg (10.7kPa), and the overall hematocrit is within 30%, and the hemoglobin is less than 80g/L in patients over 60 years old, acute upper gastrointestinal tract The fatality rate of bleeding is on the rise. Therefore, it is very important to help the general public master the professional treatment methods for acute upper gastrointestinal bleeding, and to continuously strengthen the public’s health awareness of preventing gastrointestinal bleeding.

In short, acute upper gastrointestinal bleeding is a great hazard to human life and health. Mastering the treatment methods of acute upper gastrointestinal bleeding, and reasonable treatment in accordance with the principle of symptomatic treatment, most patients with acute upper gastrointestinal bleeding can be effectively cured. Older patient groups must actively cooperate with doctors to improve their prognosis.