70 cases of gastrointestinal bleeding ulcer with care.docVIP

 PAGE \* MERGEFORMAT 6 70 cases of gastrointestinal bleeding ulcer with care The most common complication of peptic ulcer is bleeding, often acute onset, severe illness. If bleeding caused by hemorrhagic shock, in the course of treatment conducted in strict observation and care is to improve the success rate of rescue and cure an important part. We are from the 2006 -2008 year observation care in patients with gastrointestinal ulcers and bleeding in 70 cases, typical of shock the patient care experience will now be described as follows: A clinical data The group of 70 cases of gastrointestinal ulcers and bleeding patients, 50 patients were male and 20 female, age maximum 75 years old, minimum 18-year-old dominated the clinical manifestations were hematemesis in 15 cases of hematemesis and melena mainly in 20 cases, blood in the stool mainly in 20 cases, all cases were characterized by being admitted to hospital within 24-48h gastroscopy confirmed with shock on admission in 8 cases, 3 cases of excessive bleeding due to re-allocate it to surgical treatment of gastric perforation, non-one cases of death, The average hospital stay was 20d. 2 Care 2.1 The break should be an absolute bed rest after bleeding in patients with stable mood, keep quiet, take supine, leg elevation to ensure sleep, reduce and eliminate undesirable external stimulation, restricted activities, to avoid the force and increase the bleeding, vomiting, should take sides supine, to prevent the causing suffocation. When necessary, oxygen, hematemesis head-bias side, to avoid suffocation. 2.2 The condition changes close observation and accurate record of the amount of the condition of patients out of every 30-2 minutes measuring vital signs once, in particular, blood pressure, recording hematemesis or blood in the stool color, measured hemoglobin, hematocrit. To see whether to continue degree of blood loss and anemia. Closely observe the patient whether or thirst, cold extremities, oliguria an