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近年来,因门脉高压而食管、胃底静脉曲张破裂出血已占上消化道急性出血的首位。临床上凡遇此类急性出血,应迅速予以内科综合治疗。1.补充血容量:以输新鲜血为首选,除恢复血容量、纠正贫血、改善组织缺氧及维持脑、心、肝、肾功能外,尚因其含有多种凝血因子和血小板成分,故对止血颇为有益。输血量应视出血量及休克程度而定,以血压维持在12kPa(90mmHg)、每小时尿量为20ml、中心静脉压7.84—9.8kPa(80～
In recent years, due to portal hypertension and esophageal variceal bleeding has accounted for the first place on the upper gastrointestinal acute hemorrhage. Clinical encounter such acute bleeding, should be quickly comprehensive medical treatment. 1. Replenishment of blood volume: to lose new blood for the first choice, in addition to restore blood volume, correct anemia, improve tissue hypoxia and maintain brain, heart, liver and kidney function, but also because it contains a variety of blood clotting factors and platelet components, so Hemostatic quite beneficial. Blood transfusion should be determined depending on the amount of bleeding and shock, to maintain blood pressure at 12kPa (90mmHg), urine output per hour as 20ml, central venous pressure 7.84-9.8kPa (80 ~