Argon treatment of peptic ulcer with active bleeding observed.docVIP

 PAGE \* MERGEFORMAT 5 Argon treatment of peptic ulcer with active bleeding observed Of: Lvhuang Yong Lee Teng-Wen Yao-Hua [Keywords:] argon treatment of peptic ulcer with active bleeding Our department in June 2006 ~ December 2008 a total of 56 patients with active bleeding peptic ulcer with argon electrocoagulation of bleeding sites were treated, received a good effect, are reported below. 1 Clinical data 1.1 General information when 56 cases were gastroscopy see active bleeding ulcer, check with argon, while the coagulation treatment. Of which 38 males, 18 females. Aged 14 to 72 (mean 38.5 + -0.3 years old. 1.2 bleeding sites and 21 cases of bleeding gastric ulcer, duodenal ulcer in 29 cases, 6 cases of ulcer after the ball, all cases were observed in the endoscopy active bleeding, injection of 12 cases, 25 cases exudative, overflow of 19 cases. 1.3 Preoperative preparation routine electrocardiogram before surgery, except for endoscopy contraindications, and the establishment of intravenous access, intramuscular injection of 20mg gastric inhibitory anisodamine peristalsis, there are those who were anti-shock, shock therapy, blood pressure stabilized at 90/60mmHg more Preoperative stress stability and 10mg given intravenous sedation. 1.4 Insert after endoscopic gastric suction blood, if the observation is unclear, can be repeatedly washed salt water ice. Can clearly observe the way ulcer and bleeding, it will display as much as possible hemorrhage in the central field of vision, salt water rinse with ice blood clots and other attachments lesion sites of hemorrhage and coagulation with argon treatment (power 35 ~ 55W, traffic 1.8L/min, from the lesions of about 2 ~ 3mm, with more electric coagulation, each time 2 3s, so that local organizations like burn eschar was white, and in accordance with stomach dilatation, amount of out of some gases, smoke more field of vision, the exhaust fumes of gas, amount of injected air, in order to maint