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上消化道大出血是临床常见急症,病死率高。本文对46例上消化道大出血病人,采用奥曲肽止血治疗,取得较为满意效果,报告如下。1 资料与方法1.1 一般资料 本组共46例,均为急诊入院的上消化道大出血病人。全部病例经急诊胃镜检查明确诊断。其中,男32例,女14例;年龄18～70岁。食管静脉曲张破裂12例,门脉高压性胃病3例,胃溃疡7例,十二指肠溃疡13例,急性胃粘膜病变11例。所有病例有呕血、黑便、头晕、心悸、乏力、血压下降。出血量为800～2000ml。1.2 治疗方法 病人入院后,常规放置胃管,监测生命体征,作血常规化验并测定血电解质、尿素氮、肌酐等。补充血容量,抗休克、对症等基础治疗。用法:奥曲肽0.1mg缓慢
Upper gastrointestinal bleeding is a common clinical emergency, high mortality. This article 46 cases of upper gastrointestinal bleeding, the use of octreotide hemostasis, achieved more satisfactory results, the report is as follows. 1 Materials and Methods 1.1 General Information The group of 46 patients were admitted to the emergency department of upper gastrointestinal bleeding. All cases confirmed by emergency gastroscopy diagnosis. Among them, 32 males and 14 females; aged 18 to 70 years. Esophageal varices rupture in 12 cases, portal hypertensive gastropathy in 3 cases, gastric ulcer in 7 cases, duodenal ulcer in 13 cases, acute gastric mucosal lesions in 11 cases. All cases have hematemesis, melena, dizziness, palpitations, fatigue, decreased blood pressure. Bleeding volume of 800 ~ 2000ml. 1.2 Treatment Patient admission, the conventional gastric tube placement, monitoring of vital signs for routine blood tests and determination of blood electrolytes, urea nitrogen, creatinine and so on. Supplementary blood volume, anti-shock, symptomatic and other basic treatment. Usage: Octreotide 0.1mg slowly