Acute gastric mucosal lesion and recurrence of ulcer treatment.docVIP

 PAGE \* MERGEFORMAT 9 Acute gastric mucosal lesion and recurrence of ulcer treatment [Abstract] Objective To investigate the acute gastric mucosal lesion and recurrent ulcer effect analysis. Methods admitted to our hospital in recent years, these patients were retrospectively analyzed. The results can be divided into two categories according to the treatment condition, a class of conservative treatment, a class of surgery, have achieved satisfactory results. Conclusions correct diagnosis, scientific treatment is the key to rehabilitation of patients. [Keywords:] acute gastric mucosal lesion treatment of recurrent ulcer First, the acute gastric mucosal lesion Refers to the stomach and duodenum in acute superficial mucosal erosions and ulcers. Because its definition has been controversial, it has many different names: such as stress ulcer syndrome, acute peptic ulcer, erosive gastritis , hemorrhagic gastritis, Curling ulcers (secondary to burn), Cushing ulcer (secondary to traumatic brain injury) and so on. fiber has been widely used in endoscopy and found that acute gastric mucosal lesions are not uncommon, can account for cases of upper gastrointestinal hemorrhage 20% to 25%. (A) diagnosis is based on 1. Prominent clinical manifestations of the symptoms of severe trauma, burns, major surgery or serious illness during sudden upper gastrointestinal bleeding or acute abdominal pain and peritonitis symptoms. Perforation far more common than bleeding, such bleeding often is not associated with abdominal pain , and mostly intermittent. 2. Auxiliary examination (1) The superficial ulcers, stomach and duodenum, barium examination positive rate of 5% to 10% (2) fiber endoscopy lesion can be clearly the nature and scope and to determine the site of bleeding, (3) can not be confirmed in the case of fiber endoscopy, consider doing selective left gastric arteriography. (B) treatment 1. Non-surgical treatment (1) in case o