门脉高压症合并上消化道出血的原因有多方面。最多为食管及胃底静脉曲张破裂出血,次为急性胃粘膜病变的消化性溃疡、肝功能损害所致凝血障碍等。 治疗原则: 镇静、禁食、 治疗方案; 止血、防治合并症 一、降低门脉循环压力而止血 1、垂体后叶素。选其中方法之一。 (1)垂体后叶素5～10~u加5～10％葡萄糖20ml静脉内缓慢注入。后继以垂体后叶素10～20~u加入5～20％葡萄糖300～500ml,静脉内缓慢滴注维持疗效。 (2)垂体后叶素20~u加10～20％葡萄糖200ml静脉内10～15分钟注完。必要时3～4小时重复 Portal hypertension with upper gastrointestinal bleeding for many reasons. Up to esophageal and gastric variceal bleeding, followed by acute gastric mucosal lesions of peptic ulcer, coagulation disorders caused by liver damage. Therapeutic principles: sedation, fasting, treatment programs; hemostasis, prevention and treatment of complications 1, reduce portal pressure and stop bleeding 1, pituitary hormone. Choose one of the ways. (1) pituitrin 5 ~ 10 ~ u plus 5 ~ 10% glucose 20ml intravenously slowly injected. Followed by pituitrin 10 ~ 20 ~ u by adding 5 to 20% glucose 300 ~ 500ml, intravenous infusion slowly to maintain efficacy. (2) vasopressin 20 ~ u plus 10 ~ 20% glucose 200ml intravenously 10 to 15 minutes Note End. If necessary, 3 to 4 hours to repeat