GIbleed消化道出血.ppt

Vasopressors are not a substitute for resuscitation and may actually induce more ischemia in the hypovolemic patient. * * Key to this study is endoscopy within 6 hours of arrival. PCV was drawn q8h. * * * Each pack of platelets will increase count by 15K * Differential diagnoses: PUD 50%, esophagitis, Varices, Mallory Weiss tear, Dieulafoy * * Differentials: Diverticulosis 40%, angiodysplasias 30%, CA, hemorrhoids, etc Tagged RBC scan is a process of labeling RBC with technetium-99, a radioactive tracer, and then scanning the patient to look for puddling or leaking of the tracer. It is more s