How to deal with gastric bleeding?

For today's office workers, they are busy with work so they usually just eat a bite at a time, which can easily lead to gastric ulcers over time. If gastric ulcer is not treated well and continues to develop, it can easily cause gastric bleeding. This is because ulcers will slowly damage the blood vessels in the stomach, which can easily cause bleeding problems. So, once gastric bleeding occurs, how should we deal with it correctly?

1. Routine treatment: ① The patient should lie in a supine position, and 10 mg of diazepam can be injected intramuscularly when the patient is restless and restless; ② Patients with vomiting blood should fast, and patients with simple black stools can eat liquid food; ③ Patients with severe conditions should receive oxygen; ④ Place a gastric tube to suck out the blood accumulated in the stomach, understand the bleeding situation, and infuse drugs; ⑤ Strengthen care to prevent vomitus from being inhaled into the respiratory tract and causing pneumonia or suffocation.

2. Rescue shock: ① Estimation of the amount of blood transfusion. In case of mild bleeding, infusion is the main method and blood transfusion may not be required temporarily. Moderate bleeding requires 400-600ml of blood supplementation. Severe bleeding requires 900-1200ml of blood transfusion, or even more. ② Estimation of the amount of infusion. In principle, the amount of outflow should be equal to the amount of inflow. The infusion volume and speed can be adjusted according to the central venous pressure measurement. The fluids used are crystalloid and dextran; ③ Correct acid-base and electrolyte balance.

3. Application of hemostatic agents: ① Choose Anluoxue, Hemostatic Min or Hemostatic Acid as appropriate, add it to the rehydration solution and drip it; ② Infuse norepinephrine or thrombin with a concentration of 80 mg/l through the gastric tube; ③ For local hemostasis under gastroscopy, spray hemostatic agents can be used, such as 80 mg/l norepinephrine or thrombin; or inject hemostatic agents, such as 1-2 mg of epinephrine added to 10 ml of 10% saline, for point injection; or high-frequency electrocoagulation hemostasis; or microwave hemostasis; or laser hemostasis.

4. Etiological treatment: ① Bleeding caused by stress lesions or ulcers, or, H2-receptor blockers cimetidine or ranitidine can be used intravenously; or Losec 20 mg can be taken orally, twice a day; ② For esophageal and gastric fundus varicose vein bleeding, a three-lumen tube should be inserted for compression and hemostasis. Generally, 200 ml of gastric bag is injected with air or water, and the pressure is 5.3-6.6 kPa. It is pulled with a 1-2 kg pulley. The bleeding stops after 24 hours, and the air can be deflated and observed for another 24 hours. At the same time, 20 u of posterior pituitary hormone is added to 100 ml of glucose solution and intravenously dripped. Repeat once every 3-4 hours. The sclerosant is injected under direct vision of the gastroscope. Generally, 1% ethoxysclerosing alcohol or 5% sodium morrhuate is used and injected into and beside the varicose veins to cause embolism and hemostasis.

However, not all patients with gastric bleeding need to undergo surgery. Except for those with more serious conditions, surgical treatment is generally not adopted. Surgery is only suitable for gastric bleeding caused by tumors or severe bleeding that has not responded to previous treatment. In short, the key to treating gastric bleeding is to use the right method, learn how to nourish the stomach, take medicine on time, and develop good living habits.