Old upper gastrointestinal bleeding and successful treatment of acute myocardial infarction report of three cases.docVIP

 PAGE \* MERGEFORMAT 9 Old upper gastrointestinal bleeding and successful treatment of acute myocardial infarction report of three cases [Keywords:] acute myocardial infarction, upper gastrointestinal bleeding Old upper gastrointestinal bleeding (GIB) is a common clinical emergency digestive system, often accompanied by hypovolemia caused by acute systemic circulation hemodynamics, acute myocardial infarction (AMI, severe cases can be life threatening. Statistics AMI to GIB incentives accounted for 1.4% for the domestic GIB reported mortality is about 10% pure, simple AMI mortality rate was 30%, nearly 10 years, the use of thrombolytic therapy and then decreased to about 8% [1]. According to the literature, GIB were older AMI mortality combined was 38.1% [2], significantly higher than those of GIB, or AMI, or even greater than the sum of the two. elderly patients with multiple underlying diseases, there GIB AMI were merging, multiple organ failure prone , treatment is difficult, and poor prognosis. In this paper, the success of our department rescue 3 patients reported below. Clinical data Example 1, Li , male, 78 years old, because of “repeated upper abdominal pain for 30 years, increased 2 days” on March 12, 2001 admission. Past the “more than 20 years with coronary heart disease, high blood pressure more than 10 years,” history. Stomach microscopy tips: duodenal ulcer. examination: blood pressure (BP130/70 mmHg, and cardiopulmonary murmur is not heard, abdomen soft, upper abdominal tenderness. the next day vomiting small brown stomach contents, about 30 ml, Solutions tarry stools, about 50 g, fecal occult blood positive, hemoglobin concentration (Hb 110 g / L, no abnormal electrocardiogram. to intravenous infusion of sodium chloride injection 100 ml + 40 mg pantoprazole acid suppression, intravenous infusion of 5 % glucose solution + 0.2 g + bleeding bleeding aromatic acid sensitivity 0.5 g, oral treatment Yunnanbaiyao bleeding, vomiting, bloody