Omeprazole treatment of upper gastrointestinal bleeding injection clinical observation of 29 cases.docVIP

 PAGE \* MERGEFORMAT 5 Omeprazole treatment of upper gastrointestinal bleeding injection clinical observation of 29 cases Duodenum, upper gastrointestinal bleeding is more than flexor ligament lesions caused by parts of the digestive tract bleeding. Gastrointestinal clinical manifestations of acute massive bleeding hematemesis, melena, bloody stool, accompanied by hypovolemia due to acute peripheral circulation disorder, is a common clinical emergency, serious illness can be life threatening. in our hospital from March 2005 -2009 application in June of omeprazole injection in the treatment of upper gastrointestinal bleeding in 29 cases, good effect, these are as follows: 1 Materials and Methods 1.1 General information on selected cases were emergency patients. Hematemesis or melena due to treatment, by endoscopy to determine the cause and site of bleeding in patients .29 25 males and 4 females, aged 22 -78 years old, mean age 44.2 years old. haemorrhage causes: acute gastric mucosal lesion in 5 cases, 8 cases of gastric ulcer, duodenal ulcer in 8 cases, 3 cases of complex ulcers, esophageal varices in 1 case, 4 cases of gastric cancer. haemorrhage level: a small amount of bleeding ( lt;500ml18 cases, accounting for 62.1%, in the amount of bleeding (blood loss 500-1000ml6 cases, accounting for 20.7%, massive blood loss (gt; 1500ml5 cases, accounting for 17.2%. 1.2 The close monitoring of vital signs, treatment, basic treatment, while also giving omeprazole injection 40mg +0.9% sodium chloride injection 100ml, every 12 hours an intravenous infusion, 3-5 days of treatment, during treatment without with other hemostatic agents. For the bleeding fast, cycle instability were given blood transfusions, and bleeding stopped after the original treatment given. 1.3 Treatment of judgments based on clinical manifestations and to formulate a FOBT following criteria: (1 markedly: 3 days medication to stop vomiting blood, black is gone, stool occult blood n