Clinical experience in treatment of upper gastrointestinal bleeding.docVIP

 PAGE \* MERGEFORMAT 7 Clinical experience in treatment of upper gastrointestinal bleeding [Keywords:] on the digestive tract Upper gastrointestinal bleeding is a medical emergency, one of many from the stomach, duodenal ulcer caused clinical disease in hematemesis and melena as the main feature, if excessive bleeding can cause hypovolemic shock, resulting in acute peripheral circulatory failure, and other system failure, dealing with non-life-time can be critical, and timely treatment is the key to stop the bleeding. our hospital from 1995 to 1999 in the outpatient and ward clinical treatment, application of cimetidine and norepinephrine combined gonadotropin treatment 78 cases of upper gastrointestinal bleeding, a significant effect, better than the control group. are presented below: 1 Clinical data In this paper 78 cases of upper gastrointestinal bleeding in patients with fecal occult blood ++--++++ before treatment were, of whom 41 cases of males and 37 females, the youngest, 23 years old, maximum 56 persons, of which 30 to 50 years old 55 cases, accounting for 70.5%. the course will be one day with black hematemesis 26 cases, 31 patients 2 days, then 3-5 days in 21 cases black. Its primary disease by endoscopy or upper gastrointestinal barium meal fluoroscopy duodenal ulcer diagnosed 36 cases, gastric ulcer in 22 cases, 20 cases of complex canker. random component in the treatment group of 78 patients, two groups of gender, age, duration, etiology, are similar, the statistical study treatment, were comparable. 2 treatment 2.1 Treatment group: oral application of intravenous cimetidine norepinephrine plus method, the specific use: cimetidine 0.8 by adding 25% glucose 500ml 500ml or 0.9% saline intravenously, once every head, norepinephrine Su 8mg 250ml ice preparation of diluted salt water, each oral 20ml, especially in patients associated with vomiting, the number of days served by the corresponding increase or decrease the severity. di