洛赛克粉针剂和阿莫西林治疗十二指肠球部溃疡并出血的疗效观察(To observe the curative effect of Losec injection and amoxicillin in the treatment of duodenal ulcer and hemorrhage).doc
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洛赛克粉针剂和阿莫西林治疗十二指肠球部溃疡并出血的疗效观察(To observe the curative effect of Losec injection and amoxicillin in the treatment of duodenal ulcer and hemorrhage)
洛赛克粉针剂和阿莫西林治疗十二指肠球部溃疡并出血的疗效观察(To observe the curative effect of Losec injection and amoxicillin in the treatment of duodenal ulcer and hemorrhage)
To observe the curative effect of Losec injection and amoxicillin in the treatment of duodenal ulcer and hemorrhage
2010-03-26, Ma GUI, Huang Jian, Xiong, Sun Tao
From April 1998 to December in our hospital, Losec injection and amoxicillin in the treatment of Helicobacter pylori (Hp) positive, and hemorrhage in patients with duodenal ulcer clinical observation, bleeding, ulcer healing and Hp clearance, very satisfactory effect.
1 objects and methods
20 patients with melena in hospital, including 9 cases with hematemesis, 1 cases with dizziness, palpitations and decreased blood pressure. There were 13 males and 7 females, including 30~40 years old, 8 cases, 41~50 years old, 10 cases, 50 years old and 2 cases, with an average age of 36.5 years. All cases were in the hospital after 24 or 48 hours of emergency gastroscopy and Hp. What is seen under the microscope is shown in table 1.
Table 1 duodenal ulcer and bleeding, 20 cases of gastroscopy
Site n ulcer size
(+ s, cm2) gastric juice, coffee
Brown breakdown
Deep sores
(n) ulcer thickness
Moss periphery
Swelling
(n) ulcer thickness
Moss periphery
Oozing blood
(n) ulcer pit
Center of depression
Oozing blood
(n) bulb failure;
Sores and weeks
Edge sharing
Blood (n)
The anterior wall of the ball was 8 (0.9 * 0.6) + 0.093212
The posterior wall of the ball was 3 (0.7 * 0.4) + 0.05111
The ball turns 5 (0.8 x 0.5) + 0.06113
Ball small bend 4 (0.6 * 0.5) + 0.05211
Total 2064631
Intravenous injection of omeprazole with admission. Adding 80mg powder Losec 100ml normal saline, 10 minutes after the drop, with 5% glucose injection 40mg 500ml Gallo mosaic, with the speed of 8mg per hour continuous infusion for 3 days at the same time, oral amoxicillin 1 0.5g, 3 times a day. After 2 weeks of treatment, endoscopy and Hp were performed. Hp was detected in two pieces of gastric antrum tissue.
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